| NPI | 1467958488 |
|---|---|
| Doing Business As | KC SMILES DENTAL MANAGEMENT, LLC |
| Entity Type | Organization |
| Authorized Contact | ANDY KOU Dentist 832-867-0379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-10-16 |