Great Expression Smiles

NPI #1962813980 in Crowley, Texas

Provider Information

NPI Number
1962813980
Entity Type
Organization
Organization Name
Great Expression Smiles
Primary Specialty
Preferred Provider Organization
Enumeration Date
May 13, 2014
Last Updated
May 13, 2014

Practice Location

Address
200 E MAIN ST STE C
State
Texas
ZIP Code
76036-2600
Phone
(817) 297-4068

Authorized Official

Name
MR. TRI PHAM, DDS
Title
PRESIDENT
Phone
(817) 496-2343

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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