NPI | 1578045969 |
---|---|
Doing Business As | CLEAR SMILES |
Entity Type | Organization |
Authorized Contact | TIMOTHY VANDERLICK Managing Partner 469-460-5915 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: TX 13073) |
Enumeration Date | 2018-08-31 |
Last Update Date | 2018-08-31 |