| Smile Makers Orthodontics | |
|
3090 N Goliad St Ste 106 Rockwall TX 75087-7049 | |
| (972) 722-2943 | |
| (972) 722-2978 |
| Full Name | Smile Makers Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 3090 N Goliad St Ste 106, Rockwall, Texas |
| Authorized Official Name and Position | Bryan Humbert Hsu (MANAGER) |
| Authorized Official Contact | 9727222943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Makers Orthodontics 3090 N Goliad St Ste 106 Rockwall TX 75087-7049 Ph: (972) 722-2943 | Smile Makers Orthodontics 3090 N Goliad St Ste 106 Rockwall TX 75087-7049 Ph: (972) 722-2943 |
| NPI Number | 1326461492 |
|---|---|
| Provider Enumeration Date | 01/27/2014 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326461492 | NPI | - | NPPES |
| 1891074472 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 28619 (Texas) | Primary |
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