| NPI | 1144798307 |
|---|---|
| Doing Business As | THE SMILIST |
| Entity Type | Organization |
| Authorized Contact | WALTER D HOSP Chief Financial Officer 516-441-2173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2018-11-06 |