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Organization
SMITH FAMILY DENTISTRY PA
Active
Organization
SMITH FAMILY DENTISTRY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN PRINCELE SMITH DDS (PRESIDENT)
(214) 503-6776
Entity
Organization
Contact information
Practice address
11910 GREENVILLE AVE, SUITE 110, DALLAS, TX 75243-3596
(214) 503-6776
Mailing address
11910 GREENVILLE AVE, SUITE 110, DALLAS, TX 75243-3596
(214) 503-6776
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
18888
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009505105
—
TX
Enumeration date
06/07/2012
Last updated
06/07/2012
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