| NPI | 1174971519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHIFA PASUA SMITH Owner 972-820-2022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: TX 30806) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |