Organization
SMILEY TOOTH LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER A CHOU DDS (OWNER/DENTIST)
(972) 772-7553
Entity
Organization
Contact information
Practice address
2014 S GOLIAD ST STE 122, ROCKWALL, TX 75087-4864
(972) 772-7553
Mailing address
2014 S GOLIAD ST STE 122, ROCKWALL, TX 75087-4864
(972) 772-7553
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
197101201
—
TX
05
—
321814101
—
TX
Enumeration date
10/30/2014
Last updated
10/30/2014
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