| NPI | 1083305239 |
|---|---|
| Doing Business As | COMPLETE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | COURTNEY R MONTEITH Credentialing Coordinator 217-540-8306 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-05-18 |
| Last Update Date | 2023-05-18 |