NPI | 1063163293 |
---|---|
Doing Business As | LOVE YOUR SMILE DENTISTRY |
Entity Type | Organization |
Authorized Contact | KRISTEN RENEE CRAWFORD ELLIS Owner & Dentist 469-351-6010 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-01-10 |