| NPI | 1093196651 |
|---|---|
| Doing Business As | WOW SMILES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J RUSSO Director Of Finance 707-230-5602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2018-08-28 |