Provider Demographics
NPI:1588238018
Name:CITRUS SMILES
Entity Type:Organization
Organization Name:CITRUS SMILES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DDS
Authorized Official - Prefix:DR
Authorized Official - First Name:GUR SIMRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AURORA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-472-8862
Mailing Address - Street 1:158 W FARM-TO-MARKET RD 544
Mailing Address - Street 2:SUITE 126
Mailing Address - City:MURPHY
Mailing Address - State:TX
Mailing Address - Zip Code:75094
Mailing Address - Country:US
Mailing Address - Phone:972-472-8862
Mailing Address - Fax:972-472-8863
Practice Address - Street 1:158 W FARM-TO-MARKET RD 544
Practice Address - Street 2:SUITE 126
Practice Address - City:MURPHY
Practice Address - State:TX
Practice Address - Zip Code:75094
Practice Address - Country:US
Practice Address - Phone:972-472-8862
Practice Address - Fax:972-472-8863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-19
Last Update Date:2021-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty