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Organization
LUCKY SMILES LLC
Active
Organization
LUCKY SMILES LLC
Active
Parent organization
LUCKY SMILE LLC
Other names
Lucky Smiles Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUCKY SMILE LLC
Authorized official
DR. MAMATHA VALISHETTY MD (MEMBER)
(732) 207-9775
Entity
Organization
Contact information
Practice address
755 HIGHWAY 121 BYP STE A200, LEWISVILLE, TX 75067-8189
(972) 315-9214
(972) 315-9216
Mailing address
755 HIGHWAY 121 BYP STE A200, LEWISVILLE, TX 75067-8189
(972) 315-9214
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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