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Organization
SMILES FOR YOU, PLLC
Active
Organization
SMILES FOR YOU, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA NIVEDITAJOUVITA FERNANDES-MORAIS D.M.D. (OWNER)
(817) 681-7680
Entity
Organization
Contact information
Practice address
2350 HALL JOHNSON ROAD, SUITE #105, GRAPEVINE, TX 76051-6589
(817) 481-7300
Mailing address
2350 HALL JOHNSON RD, SUITE #105, GRAPEVINE, TX 76051-6589
(817) 681-7680
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21650
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1223G0001X
NEW DENTAL OFFICE
TX
Enumeration date
07/12/2007
Last updated
04/06/2011
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