| NPI | 1407225394 |
|---|---|
| Doing Business As | GLORIOUS SMILES |
| Entity Type | Organization |
| Authorized Contact | GLORIA ELIZABETH LOPEZ-BHUSHAN President 972-539-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 21167) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2015-09-21 |