NPI | 1104530658 |
---|---|
Doing Business As | SMILE BUILDERS PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | KAROL IVETTE MANCHOLA Regional Manager 973-610-5812 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2023-01-10 |
Last Update Date | 2024-08-30 |