NPI | 1659199727 |
---|---|
Doing Business As | SMILES OF AUSTIN DRIPPING SPRINGS |
Entity Type | Organization |
Authorized Contact | NICOLE D CARIDE Credentialing 470-207-3264 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 122300000X Dentist |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2024-09-28 |
Last Update Date | 2024-09-28 |