| NPI | 1831599703 |
|---|---|
| Doing Business As | WILD SMILES |
| Entity Type | Organization |
| Authorized Contact | MINHLY D NGUYEN President 713-668-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: TX 21485) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |