Organization
ORTHODONTIC PROFESSIONALS
Active
Other names
Smiles for Life Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRELIA MARIA MACHADO DDS, MS (MANAGER)
(940) 295-4188
Entity
Organization
Contact information
Practice address
4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
(940) 295-4188
Mailing address
4030 JUSTIN ROAD (FM 407), SUITE 100, FLOWER MOUND, TX 75077
(940) 295-4188
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
22303
TX
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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