Organization
GROUP ONE SMILES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THEODORE MARKOS DMD (OWNER/DENTIST)
(617) 909-5459
Entity
Organization
Contact information
Practice address
210 HUMPHREY ST, MARBLEHEAD, MA 01945-1665
(617) 909-5459
Mailing address
549 SEAL PL NE, ATLANTA, GA 30308-1817
(617) 909-5459
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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