| NPI | 1568069094 |
|---|---|
| Doing Business As | VINTAGE SMILE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | HUSAIN KAPADIA Dentist/ Owner 832-707-4385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-12-27 |