| NPI | 1265001036 |
|---|---|
| Doing Business As | VICTORY SMILES OF PASADENA |
| Entity Type | Organization |
| Authorized Contact | JOHN T LE Manager 832-460-5657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |