| NPI | 1689227381 |
|---|---|
| Doing Business As | MAVERICK SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARY ALICE VICKERY HUGHES Owner 864-414-5918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2025-05-28 |