| Smile Salon, Pllc | |
|
1600 S 1st St Ste 160 Austin TX 78704-3048 | |
| (512) 653-4009 | |
| Not Available |
| Full Name | Smile Salon, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 S 1st St Ste 160, Austin, Texas |
| Authorized Official Name and Position | Iana Elledge (DENTIST) |
| Authorized Official Contact | 4082219128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Salon, Pllc 1600 S 1st St Ste 160 Austin TX 78704-3048 Ph: (512) 653-4009 | Smile Salon, Pllc 1600 S 1st St Ste 160 Austin TX 78704-3048 Ph: (512) 653-4009 |
| NPI Number | 1033814710 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 06/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033814710 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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