| NPI | 1104349992 |
|---|---|
| Doing Business As | JUPITER SMILES |
| Entity Type | Organization |
| Authorized Contact | LARRY TAM Managing Member 972-276-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-07-21 |