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General NPI Number Information
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NPI Number | 1114889474
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Entity Type | Organization
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Legal Business Name | SRM SMILESPLLC
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Dates
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Enumeration Date | 11/25/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 14095 NORTHWEST FWY STE D
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City | HOUSTON
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State | TX
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Zip | 77040-5133
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Country | US
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Telephone | 214-713-1364
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Fax |
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Provider Business Mailing Address
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Address Line | 8914 ASHCROFT CREEK CT
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City | CYPRESS
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State | TX
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Zip | 77433-5326
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Country | US
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Telephone | 210-350-2200
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Fax |
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. NEHA BANSAL
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Credential | DDS
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Telephone | 210-350-2200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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