| NPI | 1144838970 |
|---|---|
| Doing Business As | SUPERIOR SMILES |
| Entity Type | Organization |
| Authorized Contact | JASON A COATS Dentist 662-418-2138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2020-07-17 |