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Organization
SD GREENVILLE LLC
Active
Organization
SD GREENVILLE LLC
Active
Other names
Smiley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNHTHY T PHAM DDS (OWNER/ DENTIST)
(214) 466-1400
Entity
Organization
Contact information
Practice address
5006 WESLEY ST, GREENVILLE, TX 75402-6307
(903) 454-2336
(903) 454-2382
Mailing address
10901 GARLAND RD, DALLAS, TX 75218-2613
(214) 466-1400
(214) 367-5896
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2014
Last updated
04/27/2020
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