Healthcare Provider Details

I. General information

NPI: 1295829034
Provider Name (Legal Business Name): SMILES FOR KIDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 10/29/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 KATY FWY SUITE 220
HOUSTON TX
77024-1633
US

IV. Provider business mailing address

8800 KATY FWY SUITE 220
HOUSTON TX
77024-1633
US

V. Phone/Fax

Practice location:
  • Phone: 713-461-1509
  • Fax: 713-461-7792
Mailing address:
  • Phone: 713-461-1509
  • Fax: 713-461-7792

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number21423
License Number StateTX

VIII. Authorized Official

Name: DR. KATARZYNA J LINDHORST
Title or Position: DOCTOR
Credential: D.D.S., M.S.D., P.A.
Phone: 713-461-1509