| NPI | 1003113879 |
|---|---|
| Doing Business As | REBEL SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | BRIAN SMITH President 470-207-3264 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2026-05-20 |