| NPI | 1316452840 |
|---|---|
| Doing Business As | ANGEL SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JERRY L. WESTOVER Owner 512-839-0330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 29935) |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-12-16 |