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Organization
SERENE SMILES DENTISTRY PLLC
Active
Organization
SERENE SMILES DENTISTRY PLLC
Active
Other names
Serene Smiles Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHILPA S AGADI DDS (OWNER)
(469) 702-2250
Entity
Organization
Contact information
Practice address
951 W ROUND GROVE RD STE 300, LEWISVILLE, TX 75067-7902
(732) 939-9236
Mailing address
951 W ROUND GROVE RD STE 300, LEWISVILLE, TX 75067-7902
(469) 702-2250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30872
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225276256
PPO & MEDICAID
—
Enumeration date
04/26/2018
Last updated
03/01/2021
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