Organization
BELLA SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAURAV PURI (PRESIDENT)
(617) 281-7941
Entity
Organization
Contact information
Practice address
1401 S JEFFERSON AVE, #4, MOUNT PLEASANT, TX 75455-5643
(617) 281-7941
Mailing address
1401 S JEFFERSON AVE, #4, MOUNT PLEASANT, TX 75455-5643
(617) 281-7941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
24365
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24365
LICENSE
TX
Enumeration date
01/22/2014
Last updated
01/22/2014
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