Organization
FULL SMILE DENTAL ARK PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM EDWARD GRAVES DMD (OWNER)
(915) 855-2337
Entity
Organization
Contact information
Practice address
11965 PELLICANO DR, EL PASO, TX 79936-6852
(915) 855-2337
Mailing address
2201 CIVIC CIR STE 600, AMARILLO, TX 79109-1817
(806) 381-3435
(806) 353-7077
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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