Organization
GIVING BACK SMILES CO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NITICHAI WONG DDS (PRESIDENT)
(915) 444-6655
Entity
Organization
Contact information
Practice address
3260 N MESA ST STE B, EL PASO, TX 79902-2323
(915) 444-6655
(915) 444-6005
Mailing address
3260 N MESA ST STE B, EL PASO, TX 79902-2323
(915) 444-6655
(915) 444-6005
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2021
Last updated
12/15/2021
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