NPI | 1164238614 |
---|---|
Doing Business As | TAILORED SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | PAMELA S MORTON Doctor/Owner 678-203-5838 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-12-09 |
Last Update Date | 2025-01-15 |