Provider Demographics
NPI:1386909901
Name:SMILES BY DESIGN, INC.
Entity type:Organization
Organization Name:SMILES BY DESIGN, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LALI
Authorized Official - Middle Name:S
Authorized Official - Last Name:MINOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:513-697-7888
Mailing Address - Street 1:8881 GOVERNORS HILL DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45249-1337
Mailing Address - Country:US
Mailing Address - Phone:513-697-7888
Mailing Address - Fax:513-697-7908
Practice Address - Street 1:8881 GOVERNORS HILL DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45249-1337
Practice Address - Country:US
Practice Address - Phone:513-697-7888
Practice Address - Fax:513-697-7908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30-02-0829122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty