NPI | 1265750558 |
---|---|
Doing Business As | KING SMILES DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL SHAYNE ISTRE Owner 512-832-6225 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-05-11 |
Last Update Date | 2010-05-11 |