NPI | 1013770189 |
---|---|
Doing Business As | FREEMAN SMILES |
Entity Type | Organization |
Authorized Contact | TIMOTHY MICHAEL POYADOU Owner 985-266-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2024-02-01 |
Last Update Date | 2024-02-05 |