| NPI | 1124531140 |
|---|---|
| Doing Business As | SMILES ON THE GO |
| Entity Type | Organization |
| Authorized Contact | SARAH ASHLEY CASEY Office Manager 601-551-2003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: LA 6737) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2018-06-16 |