Provider Demographics
NPI:1487180923
Name:SMILE ANGELS, PLLC
Entity Type:Organization
Organization Name:SMILE ANGELS, PLLC
Other - Org Name:DREAM SMILES DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NATALIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DORSAINVILLE-DIANGANI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:832-429-5630
Mailing Address - Street 1:9711 S MASON RD
Mailing Address - Street 2:SUITE 110
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7163
Mailing Address - Country:US
Mailing Address - Phone:832-429-5630
Mailing Address - Fax:
Practice Address - Street 1:9711 S MASON RD
Practice Address - Street 2:SUITE 110
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7163
Practice Address - Country:US
Practice Address - Phone:832-429-5630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty