NPI | 1164644498 |
---|---|
Doing Business As | SMILE YOUR BEST DENTAL |
Entity Type | Organization |
Authorized Contact | DODI R. WOOLLEY Dentist 219-987-5733 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: IN 6974) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2016-01-04 |