| NPI | 1114351699 |
|---|---|
| Doing Business As | SIMPLY SMILE |
| Entity Type | Organization |
| Authorized Contact | SAMUEL BACON Partner 317-570-5480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2013-09-03 |