| NPI | 1083747240 |
|---|---|
| Doing Business As | GALLERIA OF SMILES |
| Entity Type | Organization |
| Authorized Contact | MEHRDAD EMAMI Doctor 918-245-5976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |