SE Smile by Design

NPI #1194001388 in Waco, Texas

Provider Information

NPI Number: 1194001388
Entity Type: Organization
Organization Name: SE Smile by Design
Primary Specialty: Dentist
Enumeration Date: Nov 1, 2011
Last Updated: Nov 1, 2011

Practice Location

Address: 901 ASHLEMAN ST
City: Waco
State: Texas
ZIP Code: 76705-2900
Phone: (254) 799-9540

Authorized Official

Name: LINDON SEAN ENDSLEY
Title: DENTIST
Phone: (254) 799-9540

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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