MEDICARE: HOUSTON SMILEZ PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	23472	TX

General Provider Information

NPI Number	:	1699285940
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOUSTON SMILEZ PLLC

Provider Business Mailing Address
First Line	:	3803 GLADE HILL LN
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3244
Country	:	US
Telephone Number	:	713-253-7430
Fax Number	:

Provider Business Practice Location Address
First Line	:	2030 GESSNER RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77080-6342
Country	:	US
Telephone Number	:	713-702-1672
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JASMIN KASAMALI
Credential	:	DDS
Telephone Number	:	713-253-7430

Provider Enumeration Date	:	10/01/2017
Last Update Date	:	10/01/2017

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Directions to “HOUSTON SMILEZ PLLC ” Practice Location

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