Prosper Smiles Pllc

NPI #1366821795 in Prosper, Texas

Provider Information

NPI Number
1366821795
Entity Type
Organization
Organization Name
Prosper Smiles Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 18, 2015
Last Updated
May 18, 2015

Practice Location

Address
821 N COLEMAN ST
Address 2
SUITE 120
State
Texas
ZIP Code
75078-2303
Phone
(972) 347-9617

Authorized Official

Name
VIMAL PATEL
Title
MANAGING MEMBER/PRESIDENT
Phone
(402) 650-7405

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial SurgeryOral and Maxillofacial Surgery
Dentist - General PracticeGeneral Practice

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