Provider Demographics
NPI:1447379599
Name:PAULO OLINDA
Entity Type:Organization
Organization Name:PAULO OLINDA
Other - Org Name:NATURAL SMILES COSMETIC DENTISTRY, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAULO
Authorized Official - Middle Name:
Authorized Official - Last Name:OLINDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-528-9966
Mailing Address - Street 1:3911 MARY ELIZA TRCE NW
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30064-1086
Mailing Address - Country:US
Mailing Address - Phone:770-528-9966
Mailing Address - Fax:770-528-9228
Practice Address - Street 1:3911 MARY ELIZA TRCE NW STE 100
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1078
Practice Address - Country:US
Practice Address - Phone:770-528-9966
Practice Address - Fax:770-528-9228
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty