| NPI | 1528574886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SMITH Owner/President 210-368-9188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |