| NPI | 1053669762 |
|---|---|
| Doing Business As | SMILE STRUCTURE |
| Entity Type | Organization |
| Authorized Contact | ANDREW SCRAVER Owner/Dentist 210-572-2385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |