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Organization
SUPER SMILES DENTAL
Active
Organization
SUPER SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PU (GENERAL MANAGER)
(817) 675-8753
Entity
Organization
Contact information
Practice address
2110 N GALLOWAY AVE STE 120, MESQUITE, TX 75150-5738
(972) 216-0300
(972) 216-0700
Mailing address
2110 N GALLOWAY AVE STE 120, MESQUITE, TX 75150-5738
(972) 216-0300
(972) 216-0700
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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