| NPI | 1801060660 |
|---|---|
| Doing Business As | STAR SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KELLY MARIE GONZALES President 512-864-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2008-04-14 |
| Last Update Date | 2009-09-23 |