| NPI | 1619633815 |
|---|---|
| Doing Business As | GLOWING SMILE DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | JOOD BAZERBASHI Manager 832-661-8720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2021-11-15 |