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 |