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Organization
ROSHAN SMILEY DENTAL GROUP PLLC
Active
Organization
ROSHAN SMILEY DENTAL GROUP PLLC
Active
Other names
Elite Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSHANAK ESMAEILI AHMADABADI DDS (DENTIST)
(405) 339-4461
Entity
Organization
Contact information
Practice address
737 IRBY LN, IRVING, TX 75061
(405) 339-4461
(972) 329-7005
Mailing address
3100 CARLISLE ST APT 15111, DALLAS, TX 75204-1497
(405) 339-4461
(972) 329-7005
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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