| NPI | 1003581257 |
|---|---|
| Doing Business As | SMILE ROTUNDA LLC |
| Entity Type | Organization |
| Authorized Contact | CARRIE CHOATE Practice Manager 410-245-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |