Provider Demographics
NPI:1225849839
Name:SMILE TO SMILES, L.C.A.
Entity type:Organization
Organization Name:SMILE TO SMILES, L.C.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:APRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMBRANO
Authorized Official - Suffix:
Authorized Official - Credentials:RDH
Authorized Official - Phone:801-759-7728
Mailing Address - Street 1:8464 S BINGHAM VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84088-5900
Mailing Address - Country:US
Mailing Address - Phone:801-759-7728
Mailing Address - Fax:
Practice Address - Street 1:8464 S BINGHAM VIEW DR
Practice Address - Street 2:
Practice Address - City:WEST JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84088-5900
Practice Address - Country:US
Practice Address - Phone:801-759-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental