Organization
SMILE MAGICDENTAL PA
Active
Other names
Smile Magic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. POONAM GOKHALE DMD (DENTIST)
(214) 544-7645
Entity
Organization
Contact information
Practice address
5261 MCKINNEY RANCH PKWY, STE # 400, MCKINNEY, TX 75070-6831
(214) 544-7645
Mailing address
5261 MCKINNEY RANCH PKWY, STE # 400, MCKINNEY, TX 75070-6831
(214) 544-7645
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
20676
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487816252
NPI TYPE 1
TX
Enumeration date
08/27/2008
Last updated
08/27/2008
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