Organization
ZEE SMILE DENTAL INC
Active
Other names
WILLOW PARK FAMILY DENTISTRY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESEOGHENE ERHUVWUYOMA OKUGBAYE DDS (DIRECTOR)
(678) 698-1440
Entity
Organization
Contact information
Practice address
5189 E INTERSTATE 20 SERVICE RD S, 102, WILLOW PARK, TX 76087
(817) 441-2684
Mailing address
1209 GENESIS DR, MANSFIELD, TX 76063-8651
(678) 698-1440
(817) 783-6705
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
26223
TX
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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