| NPI | 1811121460 |
|---|---|
| Doing Business As | SMILES FOR LIFE ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | IRELIA MARIA MACHADO Manager 940-295-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 22303) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |