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 |