| NPI | 1043454135 |
|---|---|
| Doing Business As | THE SMILE DESIGNER |
| Entity Type | Organization |
| Authorized Contact | MAISA IDRISS Owner 281-257-8815 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 17900) |
| Additional Taxonomies | 122300000X Dentist |
| 122300000X Dentist (Licence: TX 17900) | |
| 1223P0700X Dentist Prosthodontics | |
| 1223S0112X Dentist Oral and Maxillofacial Surgery | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |