NPI | 1154164333 |
---|---|
Doing Business As | SKYLINE HEALTHY SMILES |
Entity Type | Organization |
Authorized Contact | MADHAVI KARNAM Dentist 267-421-2073 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-06-17 |
Last Update Date | 2024-06-17 |