| NPI | 1043991342 |
|---|---|
| Doing Business As | SMILESPACE HARLEM |
| Entity Type | Organization |
| Authorized Contact | COREY LAVELLE BLACK Owner 717-395-3144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2023-07-28 |