Provider Demographics
NPI:1760781892
Name:ONE SMILE, P.L.L.C.
Entity Type:Organization
Organization Name:ONE SMILE, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MIHRAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASINMAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-721-9992
Mailing Address - Street 1:1225 N MILITARY TRL
Mailing Address - Street 2:SUITE 6
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6059
Mailing Address - Country:US
Mailing Address - Phone:561-721-9992
Mailing Address - Fax:561-686-8948
Practice Address - Street 1:1225 N MILITARY TRL
Practice Address - Street 2:SUITE 6
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6059
Practice Address - Country:US
Practice Address - Phone:561-721-9992
Practice Address - Fax:561-686-8948
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-15
Last Update Date:2011-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN188591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty