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Organization
MYSTIC SMILES CHILDREN AND ADULT DENTISTRY
Active
Organization
MYSTIC SMILES CHILDREN AND ADULT DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZIZ PRADHAN DMD (GENERAL DENTIST)
(281) 202-7938
Entity
Organization
Contact information
Practice address
1920 PARKER RD STE 110, CARROLLTON, TX 75010-4864
(469) 557-5127
Mailing address
1721 LADY BETTYE DR, CARROLLTON, TX 75010-6619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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