| NPI | 1740813195 |
|---|---|
| Doing Business As | SMILE NINJA DENTAL |
| Entity Type | Organization |
| Authorized Contact | JUSTIN D MUND Owner 817-916-4431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| Enumeration Date | 2020-02-13 |
| Last Update Date | 2020-02-13 |