Organization
SMILE PROVIDERS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARDO GUAJARDO DDS, MSD (OWNER)
(281) 427-7376
Entity
Organization
Contact information
Practice address
2802 GARTH RD STE 311, BAYTOWN, TX 77521-3957
(281) 427-7376
(281) 422-9322
Mailing address
2802 GARTH RD STE 311, BAYTOWN, TX 77521-3957
(281) 427-7376
(281) 422-9322
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
23141
TX
Other
Enumeration date
01/25/2010
Last updated
01/25/2010
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