| NPI | 1366943524 |
|---|---|
| Doing Business As | KINGWOOD PERFECT SMILES |
| Entity Type | Organization |
| Authorized Contact | ADAM JOSEPH DIVINCENZO Owner/President 412-973-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 27800) |
| Enumeration Date | 2018-02-23 |
| Last Update Date | 2018-02-23 |