| NPI | 1114607702 |
|---|---|
| Doing Business As | HARBOR KIDS TEETH |
| Entity Type | Organization |
| Authorized Contact | CHAD W SMART Owner 253-514-9525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |