NPI | 1194332932 |
---|---|
Doing Business As | SMILE POP |
Entity Type | Organization |
Authorized Contact | COURTNEY AUDRA SCHIEFELBEIIN Owner 646-770-2091 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-09-25 |
Last Update Date | 2020-09-25 |