NPI | 1144827767 |
---|---|
Doing Business As | SMILERESTORE |
Entity Type | Organization |
Authorized Contact | GEORGENE BERNICE CHASE Dentist/Executive Director 775-800-1051 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2020-10-06 |
Last Update Date | 2020-10-06 |