| Smile In Style Pllc | |
|
2515 S Lakeline Blvd Cedar Park TX 78613-2963 | |
| (512) 666-9192 | |
| Not Available |
| Full Name | Smile In Style Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2515 S Lakeline Blvd, Cedar Park, Texas |
| Authorized Official Name and Position | Azadeh Eslami (ORTHODONTIST AND PERIODONTIST) |
| Authorized Official Contact | 8103333930 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile In Style Pllc 2515 S Lakeline Blvd Cedar Park TX 78613-2963 Ph: (512) 666-9192 | Smile In Style Pllc 2515 S Lakeline Blvd Cedar Park TX 78613-2963 Ph: (512) 666-9192 |
| NPI Number | 1043984834 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043984834 | NPI | - | NPPES |
| 14226408 | Other | TX | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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Dentistry For The Elderly, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 Cripple Creek Rd, Cedar Park, TX 78613 Phone: 143-436-1452 Fax: 888-316-6432 |