Amaze Smiles, PLLC
Dentist, General Practice in Desoto, TX. Organization (NPI-2).
NPI number1982165148
StatusActive
Last updated in NPPESMar 28, 2019
Details
- NPI
- 1982165148
- Entity type
- Organization (NPI-2)
- Legal business name
- Amaze Smiles, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 28, 2019
- Last updated
- Mar 28, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
| 122300000X | Dentist | – | – |
Other names
- Amaze Dental Desoto & Cedar Hill Dentist (Doing Business As)
Practice location
216 Dalton DrDesoto, TX 75115-4414
Phone 972-230-1100 · Fax 972-230-1103
Mailing address
216 Dalton DrDesoto, TX 75115-4414
Phone 972-230-1100 · Fax 972-230-1103
Authorized official
Suzanne Najjar
Owner
9722301100
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