Organization
CLEAR SMILE DOCS, PLLC
Active
Other names
Clear Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY VANDERLICK (MANAGING PARTNER)
(469) 460-5915
Entity
Organization
Contact information
Practice address
1919 MCKINNEY AVE, DALLAS, TX 75201-1753
(469) 460-5915
Mailing address
1919 MCKINNEY AVE, DALLAS, TX 75201-1753
(469) 460-5915
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
13073
TX
Other
Enumeration date
08/31/2018
Last updated
08/31/2018
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