| NPI | 1487018271 |
|---|---|
| Doing Business As | SCUBA SMILES FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | JOS SELIG Business Manager 210-366-3606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |