PORTABLE SMILES LLC

LEAGUE CITY, TX
NPI1356860316
Entity TypeOrganization
Authorized ContactGLORIA JOHNSON
Manager
313-790-0094
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2017-09-11
Last Update Date2017-09-11
Business Address
PORTABLE SMILES LLC
141 S LAGUNA POINTE DR
LEAGUE CITY, TX 77573-9004
Phone number: 734-260-2601
Mailing Address
PORTABLE SMILES LLC
519 PINEHURST DR
CANTON, MI 48188-3078
Phone number: