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 | 2024-11-02 |