| NPI | 1154012722 |
|---|---|
| Doing Business As | GENESIS SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BHAVNA T PAHEL Managing Member 864-715-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2023-07-01 |