Dr. Kates Premier Smiles Orthodontics INC

NPI #1134630163 in Mentor, Ohio

Provider Information

NPI Number: 1134630163
Entity Type: Organization
Organization Name: Dr. Kates Premier Smiles Orthodontics INC
Subpart: Yes (part of a larger organization)
Parent Organization: DR. KATES PREMIER SMILES ORTHODONTICS INC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Oct 17, 2017
Last Updated: Oct 17, 2017

Practice Location

Address: 9179 MENTOR AVE STE K
City: Mentor
State: Ohio
ZIP Code: 44060-6398
Phone: (440) 205-1222

Authorized Official

Name: NAKIA THOMAS
Title: MANAGER
Phone: (216) 395-7336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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