Organization
HUNTSVILLE SMILES
Active
Other names
Smile Maker
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAURAV PURI (DENTIST)
(617) 281-7941
Entity
Organization
Contact information
Practice address
3011 HIGHWAY 30 W, SUITE 101C, HUNTSVILLE, TX 77340-3534
(617) 281-7947
Mailing address
8337 SUMMER PARK DR, FORT WORTH, TX 76123-1991
(617) 281-7941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/14/2013
Last updated
05/14/2013
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