Organization
REAL SMILES, LLC
Active
Other names
Now Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
RAUL LUCERO (MANAGING MEMBER)
(817) 847-9901
Entity
Organization
Contact information
Practice address
604 E BAILEY BOSWELL RD STE 150, SAGINAW, TX 76131-3574
(817) 847-9901
Mailing address
604 E BAILEY BOSWELL RD STE 150, SAGINAW, TX 76131-3574
(817) 847-9901
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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