Organization
SMILE IN STYLE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH ESLAMI DDS MS MS (ORTHODONTIST AND PERIODONTIST)
(810) 333-3930
Entity
Organization
Contact information
Practice address
2515 S LAKELINE BLVD, CEDAR PARK, TX 78613-2963
(512) 666-9192
Mailing address
2515 S LAKELINE BLVD, CEDAR PARK, TX 78613-2963
(512) 666-9192
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14226408
CAQH
TX
Enumeration date
08/04/2021
Last updated
08/04/2021
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