Provider Demographics
NPI:1720327398
Name:JUST SMILE ORTHODONTICS
Entity Type:Organization
Organization Name:JUST SMILE ORTHODONTICS
Other - Org Name:LEO TOURENO, DDS PLLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LEO
Authorized Official - Middle Name:
Authorized Official - Last Name:TOURENO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:520-889-1100
Mailing Address - Street 1:1680 W IRVINGTON ROAD
Mailing Address - Street 2:SUITE 140
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85746
Mailing Address - Country:US
Mailing Address - Phone:520-889-1100
Mailing Address - Fax:520-889-0700
Practice Address - Street 1:1680 W IRVINGTON ROAD
Practice Address - Street 2:SUITE 140
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85746
Practice Address - Country:US
Practice Address - Phone:520-889-1100
Practice Address - Fax:520-889-0700
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-02
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ59611223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty