Organization
MILLENNIUM SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUNIA KOROUS DDS, FICOI (OWNER/DENTIST)
(972) 987-4899
Entity
Organization
Contact information
Practice address
8979 FARM TO MARKET RD 423 SUITE 400, FRISCO, TX 75034
(972) 987-4899
(972) 987-4915
Mailing address
8979 FM 423, SUITE 400, FRISCO, TX 75034
(972) 987-4899
(972) 987-4915
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
28879
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134566052
HEALTH CARE INSURANCE COMPANIES
TX
Enumeration date
12/27/2016
Last updated
12/27/2016
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