Provider Demographics
NPI:1104662550
Name:GIRAFFE SMILE, PLLC
Entity type:Organization
Organization Name:GIRAFFE SMILE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CONRAD
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:352-222-8431
Mailing Address - Street 1:2301 OHIO DR STE 136
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3900
Mailing Address - Country:US
Mailing Address - Phone:972-777-2848
Mailing Address - Fax:972-761-1618
Practice Address - Street 1:2301 OHIO DR STE 136
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3900
Practice Address - Country:US
Practice Address - Phone:972-777-2848
Practice Address - Fax:972-761-1618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-05
Last Update Date:2024-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental