| The Smile Shoppe Orthodontic Specialists | |
|
3402 E Del Mar Blvd Suite 280 Laredo TX 78041-6897 | |
| (956) 568-5525 | |
| (956) 568-5394 |
| Full Name | The Smile Shoppe Orthodontic Specialists |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3402 E Del Mar Blvd, Laredo, Texas |
| Authorized Official Name and Position | Ryan Noel Reyes (CO-OWNER) |
| Authorized Official Contact | 9563243125 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Shoppe Orthodontic Specialists 3402 E Del Mar Blvd Suite 280 Laredo TX 78041-6897 Ph: (956) 568-5525 | The Smile Shoppe Orthodontic Specialists 3402 E Del Mar Blvd Suite 280 Laredo TX 78041-6897 Ph: (956) 568-5525 |
| NPI Number | 1316486863 |
|---|---|
| Provider Enumeration Date | 02/16/2017 |
| Last Update Date | 02/16/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316486863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 31485 (Texas) | Primary |
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