Organization
SMILES FOR ALL DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN R MARTIN (MANAGER)
(469) 547-1937
Entity
Organization
Contact information
Practice address
301 W GRUBB DR, MESQUITE, TX 75149
(469) 547-1937
Mailing address
301 W GRUBB DR, MESQUITE, TX 75149
(469) 547-1937
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
21841
TX
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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