NPI | 1063727501 |
---|---|
Doing Business As | SMILE 32 |
Entity Type | Organization |
Authorized Contact | ALIRIO A MILLAN President 804-269-3951 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2010-08-09 |
Last Update Date | 2010-09-23 |