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Organization
THREE MILE DENTISTRY, PLLC
Active
Organization
THREE MILE DENTISTRY, PLLC
Active
Other names
Smile & Shine
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARJAP SINGH NANVA (MEMBER)
(956) 437-2220
Entity
Organization
Contact information
Practice address
1701 W MILE 3 RD, MISSION, TX 78573-4181
(956) 437-2220
Mailing address
902 S AIRPORT DR, SUITE 2, WESLACO, TX 78596-6644
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24586
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
202219607
—
TX
05
—
313703601
—
TX
Enumeration date
11/16/2015
Last updated
11/24/2015
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