Organization
AMERISMILES DENTAL OF MESQUITE PLLC
Active
Other names
Amerismiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAN R NALLA DMD (PRESIDENT)
(214) 827-1305
Entity
Organization
Contact information
Practice address
3600 GUS THOMASSON RD, SUITE # 145, MESQUITE, TX 75150-6200
(214) 827-1305
Mailing address
3600 GUS THOMASSON RD, SUITE # 145, MESQUITE, TX 75150-6200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
25949
TX
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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