NPI | 1164849246 |
---|---|
Doing Business As | SMILE DESIGN CENTER |
Entity Type | Organization |
Authorized Contact | RACHEL MICHELLE HARDIN General Dentist 573-682-2015 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MO 2006015344) |
Enumeration Date | 2014-03-26 |
Last Update Date | 2014-03-26 |