Signature Smiles, LLC

NPI #1154800068 in Taylors, South Carolina

Provider Information

NPI Number: 1154800068
Entity Type: Organization
Organization Name: Signature Smiles, LLC
Primary Specialty: Dentist
Enumeration Date: Aug 10, 2018
Last Updated: Aug 10, 2018

Practice Location

Address: 2801 WADE HAMPTON BLVD STE 118
City: Taylors
State: South Carolina
ZIP Code: 29687-2758
Phone: (864) 292-6050

Authorized Official

Name: BLAKE MICHAEL JULIAN
Title: DDS - PRACTICE OWNER
Phone: (864) 292-6050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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