| NPI | 1619492519 |
|---|---|
| Doing Business As | LIFE SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SRAVAN K ABBARAJU President 832-895-3405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2025-03-11 |