| NPI | 1013675842 |
|---|---|
| Doing Business As | PEACE HAVEN SMILES |
| Entity Type | Organization |
| Authorized Contact | KENITRA RICHARDSON Dentist/Owner/Manager 336-314-8535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |