| NPI | 1154799047 |
|---|---|
| Doing Business As | SMILES 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | KORY D BINGHAM Managing Partner 208-529-3007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |