| NPI | 1114183118 |
|---|---|
| Doing Business As | STAR SMILE CHILDREN DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY A WILSON Owner 702-270-3047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-07-30 |
| Last Update Date | 2008-07-30 |