| Smile Muse Spa | |
|
9705 Tehama Ridge Pkwy Ste 149 Fort Worth TX 76177-7523 | |
| (214) 699-7451 | |
| (817) 887-5169 |
| Full Name | Smile Muse Spa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 9705 Tehama Ridge Pkwy Ste 149, Fort Worth, Texas |
| Authorized Official Name and Position | Cornelius Davis (CFO) |
| Authorized Official Contact | 5014428585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Muse Spa 8305 Southridge Ct North Richland Hills TX 76182-8494 Ph: (501) 442-8585 | Smile Muse Spa 9705 Tehama Ridge Pkwy Ste 149 Fort Worth TX 76177-7523 Ph: (214) 699-7451 |
| NPI Number | 1326847740 |
|---|---|
| Provider Enumeration Date | 03/10/2025 |
| Last Update Date | 08/13/2025 |
| Certification Date | 08/13/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326847740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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