| NPI | 1609220490 |
|---|---|
| Doing Business As | FRESH SMILE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | KWANGJAE YEO President 469-703-9819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 29206) |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2016-06-22 |