Organization
FULL SMILE DENTAL PROSPER TRAIL ORTHODONTICS, PLLC
Active
Other names
Prosper Trail Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GRAVES DMD (OWNER)
(806) 353-1055
Entity
Organization
Contact information
Practice address
821 N COLEMAN ST STE 110, PROSPER, TX 75078-2305
(972) 347-1700
Mailing address
821 N COLEMAN ST STE 110, PROSPER, TX 75078-2305
(972) 347-1700
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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