Organization
SMILE FACTORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIANA TAYLOR RDH (OWNER)
(910) 389-6717
Entity
Organization
Contact information
Practice address
11344 DEER CHASE LN, CHARLOTTE, NC 28262-9167
(910) 389-6717
Mailing address
11344 DEER CHASE LN, CHARLOTTE, NC 28262-9167
(910) 389-6717
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000036459775
—
NC
Enumeration date
04/22/2022
Last updated
04/22/2022
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