NPI | 1033155411 |
---|---|
Doing Business As | SMILE SHOPPE PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JEFFREY D RHODES President 479-631-6377 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: AR 2924) |
Enumeration Date | 2006-06-22 |
Last Update Date | 2016-01-19 |