Full Smile Dental Colonies, Pllc

NPI #1538734249 in Amarillo, Texas

Provider Information

NPI Number: 1538734249
Entity Type: Organization
Organization Name: Full Smile Dental Colonies, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 25, 2021
Last Updated: Feb 24, 2022

Practice Location

Address: 4515 VAN WINKLE DR
City: Amarillo
State: Texas
ZIP Code: 79119-6423
Phone: (806) 641-1373

Authorized Official

Name: WILLIAM E GRAVES, DMD
Title: OWNER
Phone: (806) 353-1055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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