Organization
FOREVER SMILES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YETUNDE O ABAYOMI D.D.S. (CO-OWNER)
(817) 477-2558
Entity
Organization
Contact information
Practice address
2310 HIGHWAY 157 N, SUITE # 102, MANSFIELD, TX 76063-8844
(817) 477-2558
(817) 473-9900
Mailing address
2310 HIGHWAY 157 N, SUITE # 102, MANSFIELD, TX 76063-8844
(817) 477-2558
(817) 473-9900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
21744
TX
1223G0001X
General Practice Dentistry
21998
TX
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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