| NPI | 1841978855 |
|---|---|
| Doing Business As | DIVINE DENTAL SMILES TX |
| Entity Type | Organization |
| Authorized Contact | VERONICA TERRELL Dental Hygienist 972-245-4886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-11 |