| NPI | 1194281774 |
|---|---|
| Doing Business As | PRO DENTAL SMILE |
| Entity Type | Organization |
| Authorized Contact | LUIS F CAMPOS President & CEO 770-837-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-19 |
| Last Update Date | 2020-05-12 |