| NPI | 1154960979 |
|---|---|
| Doing Business As | A LIFETIME OF SMILES |
| Entity Type | Organization |
| Authorized Contact | ANTHONY RAY FRANK Owner 701-258-5220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-09-03 |