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1750879912
SPACE CITY SMILES
HOUSTON, TX
NPI
1750879912
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Entity Type
Organization
Authorized Contact
JOHNATHAN PHAN
Manager
713-363-1338
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-04-24
Last Update Date
2018-04-24
Business Address
SPACE CITY SMILES
2415 BLALOCK RD. SUITE A
HOUSTON, TX 77080
Phone number: 832-380-5149
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Mailing Address
SPACE CITY SMILES
2415 BLALOCK RD. SUITE A
HOUSTON, TX 77080
Phone number: 832-380-5149
Copy
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