# ORTHODONTIC PROFESSIONALS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Smiles for Life Orthodontics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811121460
- **Authorized official:** DR. IRELIA MARIA MACHADO DDS, MS (MANAGER)
- **Authorized official phone:** (940) 295-4188

## Contact information

- **Practice address:** 4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
- **Practice address phone:** (940) 295-4188
- **Mailing address:** 4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
- **Mailing address phone:** (940) 295-4188

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 22303 | TX | Yes |

## Other

- **Enumeration date:** 05/12/2009
- **Last updated:** 05/12/2009