| NPI | 1649096009 |
|---|---|
| Doing Business As | SUPREME SMILES |
| Entity Type | Organization |
| Authorized Contact | HADEEL SALEH Dentist 817-690-4759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-12-02 |
| Last Update Date | 2025-02-07 |