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Organization
SMILE CLUB PLLC
Active
Organization
SMILE CLUB PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TEJASH PATEL DMD (DIRECTOR)
(936) 681-8592
Entity
Organization
Contact information
Practice address
400 E HIGHWAY 90 STE 402, DAYTON, TX 77535-2630
(936) 681-8592
Mailing address
400 EAST HWY 90 SUITE 402, DAYTON, TX 77535
(936) 681-8592
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/16/2014
Last updated
01/20/2015
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