Provider Demographics
NPI:1295383347
Name:M&M SMILES
Entity Type:Organization
Organization Name:M&M SMILES
Other - Org Name:SAPPHIRE SMILES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANTOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:914-334-9041
Mailing Address - Street 1:2522 YALE ST STE 210
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-2149
Mailing Address - Country:US
Mailing Address - Phone:832-377-7268
Mailing Address - Fax:
Practice Address - Street 1:2522 YALE ST STE 210
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-2149
Practice Address - Country:US
Practice Address - Phone:832-377-7268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-02
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental