| NPI | 1548872542 |
|---|---|
| Former Legal Business Name | FULL SMILE DENTAL, PLLC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD GRAVES Owner 806-353-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2023-11-27 |