| NPI | 1912409103 |
|---|---|
| Doing Business As | CAPITAL CITY SMILES, PLLC |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA T TRUONG Owner 512-345-5885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: TX 32900) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: TX 32900) |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2018-03-02 |