| NPI | 1033757208 | 
|---|---|
| Doing Business As | WYLIE SMILES | 
| Entity Type | Organization | 
| Authorized Contact | JUVERIA FAKHRUDDIN Dentist/Owner 972-442-6879  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice | 
| Enumeration Date | 2019-12-18 | 
| Last Update Date | 2019-12-18 |