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Organization
SMILE SALON, PLLC
Active
Organization
SMILE SALON, PLLC
Active
Other names
Glint Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IANA ELLEDGE DMD (DENTIST)
(408) 221-9128
Entity
Organization
Contact information
Practice address
1600 S 1ST ST STE 160, AUSTIN, TX 78704-3048
(512) 653-4009
Mailing address
1600 S 1ST ST STE 160, AUSTIN, TX 78704-3048
(512) 653-4009
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/03/2023
Last updated
06/21/2023
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