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Organization
PHOENIX SMILES, PLLC
Active
Organization
PHOENIX SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSAMA SIDDIQUI (OWNER/PROVIDER)
(214) 493-1216
Entity
Organization
Contact information
Practice address
1625 PECAN PARK DR, ARLINGTON, TX 76012-3044
(214) 493-1216
Mailing address
1625 PECAN PARK DR, ARLINGTON, TX 76012-3044
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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