| NPI | 1104110501 |
|---|---|
| Doing Business As | SMILE STRUCTURE |
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS SCRAVER Owner 210-546-1337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: TX 22951) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |