| NPI | 1184022584 |
|---|---|
| Doing Business As | SMITHSON VALLEY DENTAL PROFESSIONALS |
| Entity Type | Organization |
| Authorized Contact | EDWARD BRIAN SMITH Owner 830-980-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TX 13408) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 14120) |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2014-12-17 |