| NPI | 1861836801 |
|---|---|
| Doing Business As | WILD SMILES |
| Entity Type | Organization |
| Authorized Contact | GLORIA KING Owner 713-668-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: TX 17287) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |