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
- City
- League City
- 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 Practice — General Practice |
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