Smile Up Dental LLC

NPI #1356817340 in Nixa, Missouri

Provider Information

NPI Number
1356817340
Entity Type
Organization
Organization Name
Smile Up Dental LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 17, 2018
Last Updated
Oct 17, 2018

Practice Location

Address
708 W MOUNT VERNON ST
City
Nixa
ZIP Code
65714-9682
Phone
(417) 494-5017

Authorized Official

Name
DR. ANTHONY LEE
Title
OWNER/DENTIST
Phone
(417) 494-5017

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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