| Sacred Smiles PLLC | |
|
7251 Canyon Falls Rd # 401 Northlake TX 76226-4543 | |
| (214) 432-7180 | |
| (214) 432-7190 |
| Full Name | Sacred Smiles PLLC |
|---|---|
| Speciality | Dentist |
| Location | 7251 Canyon Falls Rd # 401, Northlake, Texas |
| Authorized Official Name and Position | Junior Tobias (DENTIST) |
| Authorized Official Contact | 2149091769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sacred Smiles PLLC 7251 Canyon Falls Rd Suite #401 Northlake TX 76226-4543 Ph: (214) 909-1769 | Sacred Smiles PLLC 7251 Canyon Falls Rd # 401 Northlake TX 76226-4543 Ph: (214) 432-7180 |
| NPI Number | 1316759350 |
|---|---|
| Provider Enumeration Date | 01/27/2025 |
| Last Update Date | 05/28/2025 |
| Certification Date | 04/28/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316759350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | () | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | () | Secondary |
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