NPI | 1083134845 |
---|---|
Doing Business As | SMILE CARE PROFESSIONALS |
Entity Type | Organization |
Authorized Contact | SCOTT WILSON Owner 702-288-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-06-22 |
Last Update Date | 2022-07-21 |