| NPI | 1437696499 |
|---|---|
| Doing Business As | HERNDON HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | JOSEPH ALWAN Owner 210-410-5764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401415274) |
| Enumeration Date | 2017-01-27 |
| Last Update Date | 2017-01-27 |