NPI | 1164107579 |
---|---|
Doing Business As | SMILES BY DR ANNA, LLC |
Entity Type | Organization |
Authorized Contact | ANNA M CHISILENCO Dentist 203-912-6479 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-06-21 |
Last Update Date | 2023-06-21 |