| NPI | 1043725039 |
|---|---|
| Doing Business As | MY KIDS SMILE |
| Entity Type | Organization |
| Authorized Contact | ALETA VALERIE BEUTER Credentialing Specialist 775-409-4614 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |