NPI | 1114058914 |
---|---|
Former Legal Business Name | ALL SMILES DENTAL CENTER, PA |
Entity Type | Organization |
Authorized Contact | ADRIAN CODEL Owner 214-642-5757 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 16206) |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 16206) | |
Enumeration Date | 2007-03-07 |
Last Update Date | 2011-02-16 |