Portable Smiles LLC

NPI #1356860316 in League City, Texas

Provider Information

NPI Number
1356860316
Entity Type
Organization
Organization Name
Portable Smiles LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Sep 11, 2017
Last Updated
Sep 11, 2017

Practice Location

Address
141 S LAGUNA POINTE DR
State
Texas
ZIP Code
77573-9004
Phone
(734) 260-2601

Authorized Official

Name
GLORIA JOHNSON
Title
MANAGER
Phone
(313) 790-0094

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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