| NPI | 1720670805 |
|---|---|
| Doing Business As | SMART MOUTH |
| Entity Type | Organization |
| Authorized Contact | SHEALA LANSDEN Dds 903-724-1524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |