| NPI | 1174278311 |
|---|---|
| Doing Business As | MIRACLE SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | NISHA MODI Dds 469-346-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-02-16 |
| Last Update Date | 2022-06-09 |