| NPI | 1154801090 |
|---|---|
| Doing Business As | LISBON SMILES |
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARIE LOURENS Office Manager 701-683-7695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ND 1948) |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |