Organization
SMILES ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUMAN GORANTLA DMD (ORTHODONTIST/PARTNER)
(316) 684-5184
Entity
Organization
Contact information
Practice address
7015 E CENTRAL AVE, WICHITA, KS 67206-1943
(316) 684-5184
(316) 684-5197
Mailing address
7015 E CENTRAL AVE, WICHITA, KS 67206-1943
(316) 684-5184
(316) 684-5197
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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