| Smile Straight Orthodontics Pllc | |
|
5867 N Mesa St Ste B El Paso TX 79912-4677 | |
| (915) 504-6868 | |
| Not Available |
| Full Name | Smile Straight Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 5867 N Mesa St, El Paso, Texas |
| Authorized Official Name and Position | Teresa Zwicky (CREDENTIALING MANAGER) |
| Authorized Official Contact | 4808668811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Straight Orthodontics Pllc 5867 N Mesa St Ste B El Paso TX 79912-4677 Ph: (915) 504-6868 | Smile Straight Orthodontics Pllc 5867 N Mesa St Ste B El Paso TX 79912-4677 Ph: (915) 504-6868 |
| NPI Number | 1861798829 |
|---|---|
| Provider Enumeration Date | 02/08/2011 |
| Last Update Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861798829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 25043 (Texas) | Primary |
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