| NPI | 1114387982 |
|---|---|
| Other Name | SMILES DENTAL GROUP, PC AK |
| Entity Type | Organization |
| Authorized Contact | STEPHEN TYLER SHOEMAKER Chief Dental Officer 360-261-6094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223D0004X Dentist, Dentist Anesthesiologist Speciality | |
| 1223E0200X Dentist, Endodontics | |
| 1223P0300X Dentist, Periodontics | |
| 1223P0700X Dentist, Prosthodontics | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
| 122400000X Denturist | |
| 124Q00000X Dental Hygienist | |
| 126800000X Dental Assistant | |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2016-03-07 |