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Organization
FULL SMILE DENTAL, PLLC
Active
Organization
FULL SMILE DENTAL, PLLC
Active
Other names
Full Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN WILLIAMS (CREDENTIALING)
(806) 803-9452
Entity
Organization
Contact information
Practice address
3609 S GEORGIA ST, AMARILLO, TX 79109-4847
(806) 353-1055
(806) 353-1055
Mailing address
5051 S SONCY RD, AMARILLO, TX 79119-6667
(806) 353-1055
(806) 353-1077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/08/2020
Last updated
11/27/2023
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