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Organization
WE CREATE YOUR PERFECT SMILE PC
Active
Organization
WE CREATE YOUR PERFECT SMILE PC
Active
Other names
YOUR PERFECT SMILE
Organization subpart
No
Provider details
NPI number
Authorized official
TRACIE L DEVAULT DDS (PARTNER)
(281) 538-9300
Entity
Organization
Contact information
Practice address
1939 LAWRENCE RD, KEMAH, TX 77565-3122
(281) 538-9300
(281) 538-9031
Mailing address
1939 LAWRENCE RD, KEMAH, TX 77565-3122
(281) 538-9300
(281) 538-9031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22158
TX
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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