Fresh Smiles-La Grange Pllc
NPI #1881167484 in La Grange, Texas
Provider Information
- NPI Number
- 1881167484
- Entity Type
- Organization
- Organization Name
- Fresh Smiles-La Grange Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 7, 2019
- Last Updated
- Jan 7, 2019
Practice Location
Authorized Official
- Name
- TEE SEMERA
- Title
- CREDENTIALING
- Phone
- (469) 556-9000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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