NPI | 1487319067 |
---|---|
Doing Business As | LONE STAR SMILES |
Entity Type | Organization |
Authorized Contact | COLE ADAM SUTAK Owner/Dentist 806-666-1099 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-11-08 |
Last Update Date | 2021-11-08 |