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Organization
PROSMILE DENTAL CARE, PLLC
Active
Organization
PROSMILE DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LONG D.D.S. (DENTIST)
(713) 721-8889
Entity
Organization
Contact information
Practice address
1919 WIRT RD, HOUSTON, TX 77055-2405
(713) 721-8889
Mailing address
6327 SPRUCE MANOR LN, HOUSTON, TX 77085-3012
(832) 434-2027
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23270
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185717906
—
TX
Enumeration date
05/06/2011
Last updated
05/06/2011
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