| Genuine Smiles | |
|
2240 E Highway 114 Ste 650 Trophy Club TX 76262-6844 | |
| (817) 532-5153 | |
| (817) 984-8404 |
| Full Name | Genuine Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2240 E Highway 114 Ste 650, Trophy Club, Texas |
| Authorized Official Name and Position | Alex Lane Wenner (OWNER) |
| Authorized Official Contact | 7034749018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genuine Smiles 2240 E Highway 114 Ste 650 Trophy Club TX 76262-6844 Ph: (817) 532-5153 | Genuine Smiles 2240 E Highway 114 Ste 650 Trophy Club TX 76262-6844 Ph: (817) 532-5153 |
| NPI Number | 1285365023 |
|---|---|
| Provider Enumeration Date | 06/22/2022 |
| Last Update Date | 06/22/2022 |
| Certification Date | 06/22/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285365023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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