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Organization
HEALTHY SMILES PLLC
Active
Organization
HEALTHY SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA ZAMORA (OFFICE MANAGER)
(956) 581-7000
Entity
Organization
Contact information
Practice address
1123 E 9TH ST, SUITE 10-A, MISSION, TX 78572-4404
(956) 581-7000
Mailing address
1123 E. 9TH ST., SUITE 10-A, MISSION, TX 78572
(956) 581-7000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
26024
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2155822
—
CA
Enumeration date
09/21/2011
Last updated
09/21/2011
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