NPI | 1811198484 |
---|---|
Other Name | TIM SMITH DENTAL |
Entity Type | Organization |
Authorized Contact | TIMOTHY R SMITH Dentist Owner 903-592-5934 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2007-05-30 |
Last Update Date | 2021-06-22 |