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Organization
GAURAV PURI PA
Active
Organization
GAURAV PURI PA
Active
Other names
Family Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAURAV PURI (DIRECTOR)
(617) 281-7941
Entity
Organization
Contact information
Practice address
4450 HIGHLAND AVE, BEAUMONT, TX 77705-5205
(617) 281-7941
Mailing address
8337 SUMMER PARK DR, FORT WORTH, TX 76123-1991
(617) 281-7941
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24365
—
Other
Enumeration date
10/01/2011
Last updated
10/01/2011
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