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Organization
SMILE MART PLLC
Active
Organization
SMILE MART PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV PURI (OWNER)
(617) 281-7941
Entity
Organization
Contact information
Practice address
2206 HIGHWAY 16 SOUTH, SUITE 2206, GREHAM, TX 76450
(617) 281-7941
Mailing address
2206 HIGHWAY 16 SOUTH, SUITE 2206, GREHAM, TX 76450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
24365
TX
Other
Enumeration date
11/26/2014
Last updated
11/26/2014
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