Organization
SMILE CONCEPTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORGE RODRIGUEZ JORDA DDS (MEMBER)
(219) 319-0108
Entity
Organization
Contact information
Practice address
1519 US HIGHWAY 41 STE B8, SCHERERVILLE, IN 46375-1373
(219) 319-0108
(219) 440-7438
Mailing address
8455 W 101ST PL, SAINT JOHN, IN 46373-7703
(786) 838-3683
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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