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NPI Code Detail

MEDICARE: FRESA SMILES HTX LLC

MEDICARE: FRESA SMILES HTX LLC
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
1261QD0000XDental Clinic/Center

General Provider Information

NPI Number : 1881552032
Entity Type Code : Organization
Provider Name (Legal Business Name) : FRESA SMILES HTX LLC
Provider Business Mailing Address
First Line : 8145 HIGHWAY 6 S STE 130
Second Line :
City : HOUSTON
State : TX
Zip : 77083-5740
Country : US
Telephone Number : 346-586-6595
Fax Number :
Provider Business Practice Location Address
First Line : 8145 HIGHWAY 6 S STE 130
Second Line :
City : HOUSTON
State : TX
Zip : 77083-5740
Country : US
Telephone Number : 346-586-6595
Fax Number :
Authorized Official
Title or Position : CREDENTIALING
Name : YESSICA G MORENO
Credential :
Telephone Number : 346-586-6595
Provider Enumeration Date : 01/14/2026
Last Update Date : 01/14/2026

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Directions to “FRESA SMILES HTX LLC ” Practice Location

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