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Organization
AMERISMILES DENTAL OF GRAND PRAIRE PLLC
Active
Organization
AMERISMILES DENTAL OF GRAND PRAIRE PLLC
Active
Other names
AmeriSmiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN REDDY NALLA DMD (PRESIDENT)
(603) 233-1889
Entity
Organization
Contact information
Practice address
1030 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-3301
(603) 233-1889
Mailing address
1030 N CARRIER PKWY, GRAND PRAIRIE, TX 75050-3301
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25949
TX
Other
Enumeration date
06/24/2011
Last updated
06/24/2011
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