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Organization
SACRED SMILES PLLC
Active
Organization
SACRED SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNIOR TOBIAS DDS (DENTIST)
(214) 909-1769
Entity
Organization
Contact information
Practice address
7251 CANYON FALLS RD # 401, NORTHLAKE, TX 76226-4543
(214) 432-7180
(214) 432-7190
Mailing address
7251 CANYON FALLS RD, SUITE #401, NORTHLAKE, TX 76226-4543
(214) 909-1769
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
01/27/2025
Last updated
05/28/2025
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