| 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 |