| NPI | 1053674697 | 
|---|---|
| Other Name | SMILEZ PEDIATRIC DENTAL GROUP | 
| Entity Type | Organization | 
| Authorized Contact | SHERRY MILLER C.O.O. 703-754-7151  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 122300000X Dentist | 
| Enumeration Date | 2012-06-19 | 
| Last Update Date | 2012-06-19 |