| NPI | 1598345118 |
|---|---|
| Doing Business As | FULL SMILE ENDODONTICS, PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN MORRIS Credentialing Specialist 806-353-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics |
| Enumeration Date | 2021-04-08 |
| Last Update Date | 2021-04-08 |