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Organization
SMILEUP DENTISTRY, PLLC
Active
Organization
SMILEUP DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE DEMMY (CREDENTIALING SPECIALIST)
(918) 998-0996
Entity
Organization
Contact information
Practice address
300 FM 407 E # 300, BARTONVILLE, TX 76226-5913
(940) 333-3234
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 235-9079
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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