NPI | 1851961643 |
---|---|
Doing Business As | FULL SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | WILLIAM EDWARD GRAVES Owner 806-641-1373 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-06-25 |
Last Update Date | 2021-06-25 |