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Organization
SMILES OF TOMORROW
Active
Organization
SMILES OF TOMORROW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN BRUCE DOLIVE D.D.S. (OWNER)
(903) 241-0061
Entity
Organization
Contact information
Practice address
4 HUNTINGTON CIR, LONGVIEW, TX 75601-3537
(903) 241-0061
Mailing address
4 HUNTINGTON CIR, LONGVIEW, TX 75601-3537
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
15490
TX
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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