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Organization

DECATUR SMILES

Active
Other names
Smart Mouth Family Dental
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN ALLEN CLARK DMD (DENTIST)
(940) 627-3730
Entity
Organization

Contact information

Practice address
301 W MAIN ST, DECATUR, TX 76234-1383
(940) 627-3730
(903) 465-1134
Mailing address
301 W MAIN ST, DECATUR, TX 76234-1383
(940) 627-3730
(903) 465-1134

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30234
TX

Other

Enumeration date
05/13/2015
Last updated
05/13/2015
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