| Portable Smiles Llc | |
|
141 S Laguna Pointe Dr League City TX 77573-9004 | |
| (734) 260-2601 | |
| Not Available |
| Full Name | Portable Smiles Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 141 S Laguna Pointe Dr, League City, Texas |
| Authorized Official Name and Position | Gloria Johnson (MANAGER) |
| Authorized Official Contact | 3137900094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Portable Smiles Llc 519 Pinehurst Dr Canton MI 48188-3078 Ph: () - | Portable Smiles Llc 141 S Laguna Pointe Dr League City TX 77573-9004 Ph: (734) 260-2601 |
| NPI Number | 1356860316 |
|---|---|
| Provider Enumeration Date | 09/11/2017 |
| Last Update Date | 09/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356860316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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