Provider Demographics
NPI:1477327120
Name:LUXESMILES, LLC
Entity Type:Organization
Organization Name:LUXESMILES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NOOR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMUDALLAL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:440-442-4440
Mailing Address - Street 1:6690 BETA DR STE 314
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44143-2359
Mailing Address - Country:US
Mailing Address - Phone:440-442-4440
Mailing Address - Fax:
Practice Address - Street 1:6690 BETA DR STE 314
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44143-2359
Practice Address - Country:US
Practice Address - Phone:440-442-4440
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty