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Organization
THE SMILE SHOPPE, PLLC
Active
Organization
THE SMILE SHOPPE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS QUACH DDS (PARTNER)
(956) 433-3773
Entity
Organization
Contact information
Practice address
1123 E 9TH ST, SUITE 10-A, MISSION, TX 78572-4404
(956) 581-7000
Mailing address
1123 E 9TH ST, SUITE 10-A, MISSION, TX 78572-4404
(956) 581-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24995
TX
Other
Enumeration date
09/02/2014
Last updated
09/02/2014
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