Organization · Type 2 NPI
The Smile Lounge PLLC
Dental Clinic/Center · Grand Prairie, TX
NPI number
1790309094
Active
Practice location
3050 W Camp Wisdom Rd # 140
Grand Prairie, TX 75052-4642
Mailing address
PO Box 625
Red Oak, TX 75154-0625
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 1790309094
The Smile Lounge PLLC's National Provider Identifier is 1790309094, issued on Jun 2, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grand Prairie, TX. The record was last updated on Jun 2, 2020.