| NPI | 1144795188 |
|---|---|
| Doing Business As | GOODSMILES |
| Former Legal Business Name | TCG DENTAL SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | REBECCA GOTTFREDSEN Office Manager 262-909-1375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2018-10-05 |