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Organization
SUPERSTAR SMILES DENTAL & ORTHODONTICS PLLC
Active
Organization
SUPERSTAR SMILES DENTAL & ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD JOHN MALOUF DDS (OWNER)
(817) 785-3290
Entity
Organization
Contact information
Practice address
930 W MAIN ST, LEWISVILLE, TX 75067-3516
(214) 253-2402
(682) 292-1502
Mailing address
10711 STRAIT LN, DALLAS, TX 75229-5428
(817) 785-3290
(682) 292-1502
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
TX
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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