Smile Design Orthodontics, LLC

NPI #1891102604 in Hazlehurst, Mississippi

Provider Information

NPI Number: 1891102604
Entity Type: Organization
Organization Name: Smile Design Orthodontics, LLC
Primary Specialty: Dentist
Enumeration Date: Jul 14, 2014
Last Updated: Jul 14, 2014

Practice Location

Address: 1047 W GALLMAN RD
City: Hazlehurst
State: Mississippi
ZIP Code: 39083-9452
Phone: (601) 955-7844

Authorized Official

Name: DR. CHANDRA M. MINOR, DMD
Title: OWNER
Phone: (601) 955-7844

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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