| White Oak Smiles Pllc | |
|
103 W Us Highway 80 # A White Oak TX 75693-2003 | |
| (617) 838-2696 | |
| Not Available |
| Full Name | White Oak Smiles Pllc |
|---|---|
| Speciality | Dentist |
| Location | 103 W Us Highway 80 # A, White Oak, Texas |
| Authorized Official Name and Position | Raghav Puri (DENTIST/OWNER) |
| Authorized Official Contact | 6178382696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| White Oak Smiles Pllc 4704 N University Dr Apt 1025 Nacogdoches TX 75965-2630 Ph: () - | White Oak Smiles Pllc 103 W Us Highway 80 # A White Oak TX 75693-2003 Ph: (617) 838-2696 |
| NPI Number | 1386143097 |
|---|---|
| Provider Enumeration Date | 02/08/2018 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386143097 | NPI | - | NPPES |
| 30505 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 30505 (Texas) | Primary |