Organization · Type 2 NPI
380 Smiles PLLC
Dental Clinic/Center · Prosper, TX
NPI number
1629538814
Active
Practice location
4940 W. University Dr., Suite 40
Prosper, TX 75078
Mailing address
5355 Randwick Trl
Frisco, TX 75036-3996
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1629538814
380 Smiles PLLC's National Provider Identifier is 1629538814, issued on Mar 22, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Prosper, TX. The record was last updated on Mar 22, 2019.