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Organization
SMILE RESTORATIONS, PA
Active
Organization
SMILE RESTORATIONS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK TILLMAN DMD (PRESIDENT)
(713) 793-5555
Entity
Organization
Contact information
Practice address
2276 HOLCOMBE BLVD, HOUSTON, TX 77030-4224
(713) 793-5555
Mailing address
PO BOX 300448, HOUSTON, TX 77230-0448
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/23/2012
Last updated
05/02/2016
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