NPI | 1568789709 |
---|---|
Doing Business As | SMILES MODERN DENTAL |
Entity Type | Organization |
Authorized Contact | RYAN WILLIS Owner 972-540-1886 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 25069) |
Enumeration Date | 2010-04-28 |
Last Update Date | 2010-04-28 |