| NPI | 1184999542 |
|---|---|
| Doing Business As | SMILES 4 KIDS |
| Entity Type | Organization |
| Authorized Contact | KORY D BINGHAM Owner 208-716-9724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: WY 1361) |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2015-04-09 |