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Organization
MIDWAY CROSSING SMILES
Active
Organization
MIDWAY CROSSING SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DHAVAL THAKKAR (MEMBER)
(617) 771-2784
Entity
Organization
Contact information
Practice address
12700 MIDWAY RD, DALLAS, TX 75244-6301
(617) 771-2784
Mailing address
12903 TAMARACK BEND LN, HUMBLE, TX 77346-1569
(617) 771-2784
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
01/21/2025
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