| NPI | 1811644289 |
|---|---|
| Doing Business As | PROSPER SMILE STUDIO |
| Entity Type | Organization |
| Authorized Contact | VICENTA REYES Credentialing Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-03-07 |
| Last Update Date | 2022-03-07 |