# AMERISMILES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Live oak Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396049698
- **Authorized official:** DR. SUMAN R NALLA DMD (DIRECTOR)
- **Authorized official phone:** (603) 233-1889

## Contact information

- **Practice address:** 3310 LIVE OAK ST, SUITE 200, DALLAS, TX 75204-6153
- **Practice address phone:** (214) 827-1305
- **Mailing address:** 3310 LIVE OAK ST, SUITE 200, DALLAS, TX 75204-6153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 25949 | TX | Yes |

## Other

- **Enumeration date:** 12/29/2010
- **Last updated:** 12/29/2010
