| NPI | 1710491626 |
|---|---|
| Doing Business As | STATE OF THE ART SMILES |
| Entity Type | Organization |
| Authorized Contact | BLAKE ENTRALGO Owner 281-851-6064 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: NJ 22DI02666400) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-06-16 |