NPI 1275998312

Smile Embassy, PLLC.

Organisation Exclusive Provider Organization Dallas, TX

Practice location

Address: 517 Sunset Ave, Dallas, TX 75208-4702
Phone: (214) 943-2400
Fax: (214) 943-2363

Authorised official

Name: Eliud Villarreal
Title: Doctor
Phone: (214) 943-2400

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 21771 (TX)

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Registry record

NPI: 1275998312
Entity type: Organization
NPI issued: 16 Dec 2015
Record last updated: 16 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.