NPI | 1033618780 |
---|---|
Doing Business As | GROWING SMILES |
Former Legal Business Name | GROWING SMILES OF HAVRE DE GRACE |
Entity Type | Organization |
Authorized Contact | JENNY GARCIA-ROCHA Senior Credentialing Team Lead 972-869-3789 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MD 12180) |
Enumeration Date | 2018-02-08 |
Last Update Date | 2025-09-11 |