NPI | 1538329461 |
---|---|
Former Legal Business Name | SEGUIN SMILES |
Entity Type | Organization |
Authorized Contact | JANICE VLASAK WEINMAN Owner/Sole Pro 830-372-2949 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2008-06-13 |
Last Update Date | 2008-06-13 |