| NPI | 1497280408 | 
|---|---|
| Doing Business As | SOARING SMILES PEDIATRIC DENTISTRY | 
| Entity Type | Organization | 
| Authorized Contact | JONATHAN STUART SMITH Owner 251-786-2011 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 29083) | 
| Enumeration Date | 2017-04-27 | 
| Last Update Date | 2017-04-27 |