| Phoenix Smiles, Pllc | |
|
1625 Pecan Park Dr Arlington TX 76012-3044 | |
| (214) 493-1216 | |
| Not Available |
| Full Name | Phoenix Smiles, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1625 Pecan Park Dr, Arlington, Texas |
| Authorized Official Name and Position | Osama Siddiqui (OWNER/PROVIDER) |
| Authorized Official Contact | 2144931216 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Smiles, Pllc 1625 Pecan Park Dr Arlington TX 76012-3044 Ph: () - | Phoenix Smiles, Pllc 1625 Pecan Park Dr Arlington TX 76012-3044 Ph: (214) 493-1216 |
| NPI Number | 1518745488 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518745488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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