Organization
FULL SMILE DENTAL PROSPER TRAIL ORTHODONTICS, PLLC
Active
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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