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Organization
GRAPEVINE SMILES PLLC
Active
Organization
GRAPEVINE SMILES PLLC
Active
Other names
DFW Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (CREDENTIALING DIRECTOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2700 WILLIAM D TATE AVE STE 100, GRAPEVINE, TX 76051-4346
(817) 281-3444
Mailing address
2700 WILLIAM D TATE AVE STE 100, GRAPEVINE, TX 76051-4346
(817) 281-3444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2020
Last updated
12/28/2020
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