| NPI | 1164800504 |
|---|---|
| Doing Business As | BELLE SMILES |
| Entity Type | Organization |
| Authorized Contact | SMITHA M REDDY President 614-843-1953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: OH 22578) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |