| NPI | 1043990252 |
|---|---|
| Doing Business As | SMILE PARK DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHRADDHA KEWALRAMANI Owner 857-222-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-07-21 |
| Last Update Date | 2023-07-21 |