Organization
SMILE IN STYLE PLLC
Active
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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