| NPI | 1972378792 |
|---|---|
| Doing Business As | SUPER SMILES FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN MONTOYA Owner 806-581-4180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 124Q00000X Dental Hygienist | |
| Enumeration Date | 2023-11-21 |
| Last Update Date | 2023-11-21 |