| NPI | 1104651900 |
|---|---|
| Doing Business As | HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | BRIAN JOCK Owner 706-548-7373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-03 |