| NPI | 1093578320 |
|---|---|
| Doing Business As | REEL SMILES |
| Doing Business As | REEL SMILES FAMILY DENTISTRY |
| Doing Business As | REEL SMILES MHC |
| Entity Type | Organization |
| Authorized Contact | JAMES THADDEUS GOOTS Member/Manager 252-726-1461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-01-31 |
| Last Update Date | 2024-01-31 |