| NPI | 1538686308 |
|---|---|
| Doing Business As | HEALTHY SMILE |
| Entity Type | Organization |
| Authorized Contact | ADARIS A RUIZ MENA Dentist 664-687-4332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: ZZ 6458195) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: ZZ 8287020) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2017-08-23 |