| NPI | 1790121705 |
|---|---|
| Doing Business As | SMILELIFE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CAMARON MARTIN Owner/Provider 210-962-6421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2013-05-16 |
| Last Update Date | 2023-02-07 |