Smiles by Spates, LLC

NPI #1750157962 in Conroe, Texas

Provider Information

NPI Number
1750157962
Entity Type
Organization
Organization Name
Smiles by Spates, LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 29, 2023
Last Updated
Feb 16, 2024

Practice Location

Address
215 S LOOP 336 W STE 100
City
Conroe
State
Texas
ZIP Code
77304-3362
Phone
(936) 270-1294

Authorized Official

Name
MICHELLE JACOMINO-BARNES
Title
DIR. OF CREDENTIALING & ENRROLLMENT
Phone
(800) 277-3633

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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