NPI | 1316486863 |
---|---|
Doing Business As | THE SMILE SHOPPE ORTHODONTIC SPECIALISTS |
Entity Type | Organization |
Authorized Contact | RYAN NOEL REYES Co Owner 956-324-3125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 31485) |
Enumeration Date | 2017-02-16 |
Last Update Date | 2017-02-16 |