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Fresh Smiles Pllc

NPI #1417496415 in La Grange, Texas

Provider Information

NPI Number
1417496415
Entity Type
Organization
Organization Name
Fresh Smiles Pllc
Primary Specialty
Dentist
Enumeration Date
Feb 23, 2017
Last Updated
Feb 23, 2017

Practice Location

Address
2001 W. ST HWY 71
Address 2
SUITE 20
City
La Grange
State
Texas
ZIP Code
78945
Phone
(817) 451-4740

Authorized Official

Name
GAURAV PURI
Title
OWNER DENTIST
Phone
(817) 451-4740

Specialties & Taxonomy Codes

Specialty
Dentist

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