| NPI | 1023472255 |
|---|---|
| Doing Business As | CRYSTAL SMILE |
| Entity Type | Organization |
| Authorized Contact | JING ZHOU President 919-360-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NC NC9324) |
| Enumeration Date | 2016-04-13 |
| Last Update Date | 2016-04-13 |