| NPI | 1003142597 |
|---|---|
| Doing Business As | PINOVA DENTAL |
| Doing Business As | KOOL SMILES |
| Entity Type | Organization |
| Authorized Contact | DALE MAYFIELD President 770-916-5036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2019-06-17 |