| NPI | 1679977862 |
|---|---|
| Doing Business As | GLORIOUS SMILES |
| Entity Type | Organization |
| Authorized Contact | GLORIA E LOPEZ-BHUSHAN Owner/Dentist 972-539-1995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21167) |
| Enumeration Date | 2014-10-16 |
| Last Update Date | 2014-10-16 |