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Organization
SMILE CLUB-DAYTON PLLC
Active
Organization
SMILE CLUB-DAYTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEE SEMERA (CREDENTIALING)
(469) 556-9000
Entity
Organization
Contact information
Practice address
400 E HIGHWAY 90 STE 402, DAYTON, TX 77535-2630
(936) 681-8592
(936) 681-8599
Mailing address
1261 W GREEN OAKS BLVD STE 101, ARLINGTON, TX 76013-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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