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Organization
ORTHODONTIC PROFESSIONALS
Active
Organization
ORTHODONTIC PROFESSIONALS
Active
Other names
Smiles for Life Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRELIA MARIA MACHADO DDS, MS (MANAGER)
(940) 295-4188
Entity
Organization
Contact information
Practice address
4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
(940) 295-4188
Mailing address
4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
(940) 295-4188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22303
TX
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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