| Smile Studio | |
|
3010 H G Mosley Pkwy Longview TX 75605-2948 | |
| (903) 759-7196 | |
| Not Available |
| Full Name | Smile Studio |
|---|---|
| Speciality | Dentist |
| Location | 3010 H G Mosley Pkwy, Longview, Texas |
| Authorized Official Name and Position | Marie Kuhl (CREDENTIALING MANAGER) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Studio 3010 H G Mosley Pkwy Longview TX 75605-2948 Ph: (903) 759-7196 | Smile Studio 3010 H G Mosley Pkwy Longview TX 75605-2948 Ph: (903) 759-7196 |
| NPI Number | 1881930196 |
|---|---|
| Provider Enumeration Date | 12/14/2012 |
| Last Update Date | 02/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881930196 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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