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Amerismiles Dental Of Grand Praire PLLC

Dentist in Grand Prairie, TX. Organization (NPI-2).

NPI number1902192289
StatusActive
Last updated in NPPESJun 24, 2011

Details

NPI
1902192289
Entity type
Organization (NPI-2)
Legal business name
Amerismiles Dental Of Grand Praire PLLC
Organization subpart
No
Enumeration date
Jun 24, 2011
Last updated
Jun 24, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist25949TXYes

Other names

  • Amerismiles Dental (Doing Business As)

Practice location

1030 N Carrier Pkwy
Grand Prairie, TX 75050-3301

Phone 603-233-1889

Mailing address

1030 N Carrier Pkwy
Grand Prairie, TX 75050-3301

Authorized official

Suman Reddy Nalla
President
6032331889

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