| NPI | 1114717808 |
|---|---|
| Doing Business As | COMPLETE SMILES REDWOOD |
| Entity Type | Organization |
| Authorized Contact | TIANA ROPER Front Office 801-255-6581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2025-05-07 |
| Last Update Date | 2025-05-07 |