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Organization
MOUNTAIN SMILES - MANSELL PLLC
Active
Organization
MOUNTAIN SMILES - MANSELL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGEL GEMINEZ (CREDENTIALING MANAGER)
(719) 300-5933
Entity
Organization
Contact information
Practice address
8101 THOMPSON RD, NORTHLAKE, TX 76247-6203
(940) 648-3384
Mailing address
8101 THOMPSON RD, NORTHLAKE, TX 76247-6203
(940) 648-3384
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/13/2026
Last updated
10/13/2026
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