NPI | 1457631137 |
---|---|
Doing Business As | SMILE DENTAL ARTS |
Entity Type | Organization |
Authorized Contact | MAISA IDRISS Dentist 281-257-8815 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 17900) |
Enumeration Date | 2011-08-25 |
Last Update Date | 2011-08-25 |