NPI | 1093539892 |
---|---|
Doing Business As | SMILES UNLIMITED |
Entity Type | Organization |
Authorized Contact | ERIC JAMES RUNYON Dentist 314-401-3616 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-11-09 |
Last Update Date | 2024-11-09 |