Organization
LIFE SMILE DENTAL PLLC
Active
Other names
Life Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SRAVAN K ABBARAJU D.M.D (PRESIDENT)
(832) 895-3405
Entity
Organization
Contact information
Practice address
211 W EL DORADO BLVD STE C, FRIENDSWOOD, TX 77546-6533
(832) 895-3405
(281) 408-4031
Mailing address
211 W EL DORADO BLVD STE C, FRIENDSWOOD, TX 77546-6533
(832) 895-3405
(281) 408-4031
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/11/2017
Last updated
03/11/2025
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