Organization
28 SMILE, LLC
Active
Other names
Alder Trails Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER TRAN DMD (DOCTOR/OWNER)
(281) 721-9575
Entity
Organization
Contact information
Practice address
11403 BARKER CYPRESS RD STE 1300, CYPRESS, TX 77433-5425
(281) 721-9575
(281) 721-9594
Mailing address
11403 BARKER CYPRESS RD STE 1300, CYPRESS, TX 77433-5425
(281) 721-9575
(281) 721-9594
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619424561
NPI
—
05
—
3735631
—
TX
Enumeration date
02/14/2019
Last updated
10/10/2024
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