Organization
DR. KATES PREMIER SMILES ORTHODONTICS INC
Active
Organization
DR. KATES PREMIER SMILES ORTHODONTICS INC
Active
Parent organization
DR. KATES PREMIER SMILES ORTHODONTICS INC
Other names
Premier Smiles Orthodontics
Organization subpart
Yes
Provider details
NPI number
Legal business name
DR. KATES PREMIER SMILES ORTHODONTICS INC
Authorized official
NAKIA THOMAS (MANAGER)
(216) 395-7336
Entity
Organization
Contact information
Practice address
9179 MENTOR AVE STE K, MENTOR, OH 44060-6398
(440) 205-1222
(440) 974-5474
Mailing address
9179 MENTOR AVE STE K, MENTOR, OH 44060-6398
(440) 205-1222
(440) 974-5474
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
30.019830
OH
Other
Enumeration date
10/17/2017
Last updated
10/17/2017
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