Enchanted Smiles

NPI #1306110747 in Humble, Texas

Provider Information

NPI Number: 1306110747
Entity Type: Organization
Organization Name: Enchanted Smiles
Primary Specialty: Dentist
Enumeration Date: Mar 2, 2012
Last Updated: Mar 2, 2012

Practice Location

Address: 7031 FM 1960 RD W
Address 2: STE F
City: Humble
State: Texas
ZIP Code: 77338-3429
Phone: (281) 540-7724

Authorized Official

Name: DR. SUSAN G DURGAPERSAD, D.D.S.
Title: DENTIST
Phone: (281) 540-7724

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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