Organization
TEETH R US CHILDREN'S DENTISTRY PLLC
Active
Other names
Teeth R Us
Organization subpart
No
Provider details
NPI number
Authorized official
NATHIFA PASUA SMITH DDS (OWNER)
(972) 820-2022
Entity
Organization
Contact information
Practice address
4865 HEDGCOXE RD, STE 100, PLANO, TX 75024-2406
(972) 820-2022
(972) 820-2024
Mailing address
4865 HEDGCOXE RD, STE 100, PLANO, TX 75024-2406
(972) 820-2022
(972) 820-2024
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
30806
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3463424-11
—
TX
Enumeration date
05/26/2016
Last updated
05/26/2016
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