NPI | 1255498903 |
---|---|
Doing Business As | KIDS DENTAL SMILES |
Entity Type | Organization |
Authorized Contact | ANIL PRAKASH GUDAPATI President 512-259-2331 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 21982) |
Enumeration Date | 2007-01-02 |
Last Update Date | 2008-07-23 |