NPI | 1760134480 |
---|---|
Doing Business As | PROSPER & SMILE DENTAL CARE |
Entity Type | Organization |
Authorized Contact | JENNY SISOMBATH President 469-296-8714 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-01-24 |
Last Update Date | 2022-01-24 |