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Organization
FRESH SMILES PLLC
Active
Organization
FRESH SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV PURI (OWNER DENTIST)
(817) 451-4740
Entity
Organization
Contact information
Practice address
2001 W. ST HWY 71, SUITE 20, LA GRANGE, TX 78945
(817) 451-4740
Mailing address
2001 W. ST HWY 71, SUITE 20, LA GRANGE, TX 78945
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24365
TX
Other
Enumeration date
02/23/2017
Last updated
02/23/2017
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