| NPI | 1891035499 |
|---|---|
| Doing Business As | PORT ARTHUR SMILES |
| Entity Type | Organization |
| Authorized Contact | DHAVAL THAKKAR Owner /Provider 409-548-0685 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2015-02-19 |