# DELTA DENTAL SMILE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417651803
- **Authorized official:** FARYAAL SHAMSI (FOUNDER)
- **Authorized official phone:** (971) 999-3399

## Contact information

- **Practice address:** 3125 CRESTDALE DR, APT \#2147, HOUSTON, TX 77080
- **Practice address phone:** (971) 999-3399
- **Mailing address:** 539 W COMMERCE ST \# 6909, DALLAS, TX 75208-1953
- **Mailing address phone:** (971) 999-3399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 01/24/2024