Organization
AC SMILES DENTAL MANAGEMENT LLC
Active
Other names
AC Smiles Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDY KOU (OWNER)
(281) 550-5757
Entity
Organization
Contact information
Practice address
11360 BELLAIRE BLVD STE 200, HOUSTON, TX 77072-2532
(832) 617-8518
Mailing address
11360 BELLAIRE BLVD STE 200, HOUSTON, TX 77072-2532
(832) 617-8518
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
280407204
—
TX
Enumeration date
09/28/2018
Last updated
11/20/2018
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