NPI | 1194280222 |
---|---|
Doing Business As | SMILE 360 IMPLANT AND FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | MATTHEW CARL BYARS Owner/ Dentist 586-909-1319 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-03 |
Last Update Date | 2019-02-03 |