NPI | 1518059245 |
---|---|
Doing Business As | THE SMILE CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL SHAYNE ISTRE Direct Owner 512-426-2619 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-29 |
Last Update Date | 2020-08-22 |