| NPI | 1134706658 |
|---|---|
| Doing Business As | WEST SPRINGFIELD SMILES |
| Entity Type | Organization |
| Authorized Contact | ALY ELGEDDAWI Owner 571-236-1318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-03-29 |
| Last Update Date | 2021-03-29 |