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Organization
THE SMILIST DENTAL PA, PLLC
Active
Organization
THE SMILIST DENTAL PA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAUNDRA MICHELE ALVAREZ (VP REVENUE MANAGEMENT)
(562) 965-3304
Entity
Organization
Contact information
Practice address
40 CUTTERMILL RD STE 500, GREAT NECK, NY 11021-3213
(562) 965-3304
Mailing address
2117 BLUE AZALEA, AUBREY, TX 76227-1592
(562) 965-3304
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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