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Organization
WHITE OAK SMILES PLLC
Active
Organization
WHITE OAK SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHAV PURI MS BDS (DENTIST/OWNER)
(617) 838-2696
Entity
Organization
Contact information
Practice address
103 W US HIGHWAY 80 # A, WHITE OAK, TX 75693-2003
(617) 838-2696
Mailing address
4704 N UNIVERSITY DR APT 1025, NACOGDOCHES, TX 75965-2630
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30505
TEXAS STATE BOARD OF DENTAL EXAMINERS
TX
Enumeration date
02/08/2018
Last updated
02/08/2018
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