NPI | 1013651595 |
---|---|
Doing Business As | INFINITE SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | KIMBERLY KAU Dentist/Owner 924-400-9978 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-21 |
Last Update Date | 2022-04-21 |