Organization
SMILE REHAB CENTERS
Active
Other names
Smile Rehab Centers
Organization subpart
No
Provider details
NPI number
Authorized official
HANIFE CANAN BAYRAKTAROGLU DDS (OWNER)
(737) 747-2221
Entity
Organization
Contact information
Practice address
245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
(737) 747-2221
(737) 273-8762
Mailing address
245 W STATE HIGHWAY 114 STE 130, SOUTHLAKE, TX 76092-3637
(737) 747-2221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
—
—
1223P0700X
Prosthodontics
Primary
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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