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Organization
MAGIC SMILES PLLC
Active
Organization
MAGIC SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUNJAN DHIR (OWNER DENTIST)
(817) 451-4439
Entity
Organization
Contact information
Practice address
1622 W VILLA MARIA RD, SUITE 140, BRYAN, TX 77807-2311
(817) 451-4439
Mailing address
1622 W VILLA MARIA RD, SUITE 140, BRYAN, TX 77807-2311
(817) 451-4439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24348
TX
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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