Full Smile Dental Georgia, Pllc

NPI #1851961643 in Amarillo, Texas

Provider Information

NPI Number: 1851961643
Entity Type: Organization
Organization Name: Full Smile Dental Georgia, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 25, 2021
Last Updated: Jun 25, 2021

Practice Location

Address: 3609 S GEORGIA ST
City: Amarillo
State: Texas
ZIP Code: 79109-4847
Phone: (806) 641-1373

Authorized Official

Name: WILLIAM EDWARD GRAVES, DMD
Title: OWNER
Phone: (806) 641-1373

Specialties & Taxonomy Codes

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

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