| NPI | 1538456199 |
|---|---|
| Doing Business As | SMILE STUDIO ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | GEORGE MITCHELL BALDREE Organizer/Managing Member 423-265-6685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TN DS005096) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS005163) |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2012-12-31 |