| NPI | 1154708162 |
|---|---|
| Doing Business As | SMART MOUTH FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY BULLOCK JOHNSON Dentist 940-761-5979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 30183) |
| Enumeration Date | 2015-04-28 |
| Last Update Date | 2015-04-28 |