| NPI | 1083248652 |
|---|---|
| Doing Business As | ELEVATED SMILES |
| Entity Type | Organization |
| Authorized Contact | NATHAN KERDLAPPOL Owner/Dentist 832-277-7805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-02-23 |
| Last Update Date | 2024-12-06 |