| NPI | 1699394833 |
|---|---|
| Doing Business As | FULL SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN WILLIAMS Credentialing 806-803-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2023-11-27 |