| Smile Lab LLC | |
|
2431 Blvd Luis A Ferre Ste 202 Ponce PR 00717-2115 | |
| (787) 840-0080 | |
| Not Available |
| Full Name | Smile Lab LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2431 Blvd Luis A Ferre Ste 202, Ponce, Puerto Rico |
| Authorized Official Name and Position | Natalia Estefania Llaurador Caraballo (ORTHODONTIST) |
| Authorized Official Contact | 7878400080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Lab LLC 2431 Blvd Luis A Ferre Ste 202 Ponce PR 00717-2115 Ph: (787) 840-0080 | Smile Lab LLC 2431 Blvd Luis A Ferre Ste 202 Ponce PR 00717-2115 Ph: (787) 840-0080 |
| NPI Number | 1598535189 |
|---|---|
| Provider Enumeration Date | 01/04/2024 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598535189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (NU) | Primary |
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