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Midway Crossing Smiles

Dentist, General Practice in Dallas, TX. Organization (NPI-2).

NPI number1982133609
StatusActive
Last updated in NPPESJan 21, 2025

Details

NPI
1982133609
Entity type
Organization (NPI-2)
Legal business name
Midway Crossing Smiles
Organization subpart
No
Enumeration date
Jun 6, 2017
Certification date
Jan 21, 2025
Last updated
Jan 21, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

12700 Midway Rd
Dallas, TX 75244-6301

Phone 617-771-2784

Mailing address

12903 Tamarack Bend Ln
Humble, TX 77346-1569

Phone 617-771-2784

Authorized official

Dhaval Thakkar
Member
6177712784

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