NPI | 1093186512 |
---|---|
Doing Business As | DR D'S SMILES |
Entity Type | Organization |
Authorized Contact | TELISA LYNN KIDD-WISE Practice Manager 703-361-4278 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410230) |
Enumeration Date | 2015-10-09 |
Last Update Date | 2017-02-17 |