| NPI | 1891942231 |
|---|---|
| Doing Business As | SMILE MAGIC DENTAL |
| Entity Type | Organization |
| Authorized Contact | POONAM GOKHALE Dentist 214-544-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 20676) |
| Enumeration Date | 2008-08-27 |
| Last Update Date | 2008-08-27 |