NPI | 1093928368 |
---|---|
Doing Business As | SMILE DESIGN DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | LINDSAY BEARDEN Ins Cood 217-540-5100 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2007-05-07 |
Last Update Date | 2014-01-08 |