# FOREVER SMILES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770765679
- **Authorized official:** YETUNDE O ABAYOMI D.D.S. (CO-OWNER)
- **Authorized official phone:** (817) 477-2558

## Contact information

- **Practice address:** 2310 HIGHWAY 157 N, SUITE \# 102, MANSFIELD, TX 76063-8844
- **Practice address phone:** (817) 477-2558
- **Practice address fax:** (817) 473-9900
- **Mailing address:** 2310 HIGHWAY 157 N, SUITE \# 102, MANSFIELD, TX 76063-8844
- **Mailing address phone:** (817) 477-2558
- **Mailing address fax:** (817) 473-9900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 21744 | TX | Yes |
| 1223G0001X | General Practice Dentistry | 21998 | TX | — |

## Other

- **Enumeration date:** 12/03/2007
- **Last updated:** 12/03/2007