Organization
SMILE EMBASSY, PLLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIUD VILLARREAL (DOCTOR)
(214) 943-2400
Entity
Organization
Contact information
Practice address
517 SUNSET AVE, DALLAS, TX 75208-4702
(214) 943-2400
(214) 943-2363
Mailing address
517 SUNSET AVE, DALLAS, TX 75208-4702
(214) 943-2400
(214) 943-2363
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
21771
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166045805
—
TX
Enumeration date
12/16/2015
Last updated
12/16/2015
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