# AMANDEEP BASRAI PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Family Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336463934
- **Authorized official:** AMANDEEP BASRAI (OWNER/DENITIST)
- **Authorized official phone:** (817) 426-9337

## Contact information

- **Practice address:** 1011 N HIGHWAY 77, STE. 104, WAXAHACHIE, TX 75165-1399
- **Practice address phone:** (817) 426-9337
- **Practice address fax:** (817) 426-9336
- **Mailing address:** 225 EXCHANGE ST, STE. D, BURLESON, TX 76028-4588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25103 | TX | Yes |

## Other

- **Enumeration date:** 03/25/2010
- **Last updated:** 03/25/2010
