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Organization
GREAT SMILES DENTAL & ORTHODONTIC
Active
Organization
GREAT SMILES DENTAL & ORTHODONTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTY A NGUYEN (OFFICE MANAGER)
(972) 416-1360
Entity
Organization
Contact information
Practice address
1927 E BELT LINE RD STE 130, CARROLLTON, TX 75006-5814
(972) 416-1360
Mailing address
1927 E BELTLINE ROAD SUITE # 130, CARROLLTON, TX 75006
(972) 416-1360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21305
TX
Other
Enumeration date
05/22/2007
Last updated
08/22/2020
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