| NPI | 1194902189 |
|---|---|
| Doing Business As | HEALTHY SMILES OF CORRY |
| Entity Type | Organization |
| Authorized Contact | AUTUMN M BRUNST Business Coordinator 814-664-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: PA DSO38747) |
| Additional Taxonomies | 122300000X Dentist (Licence: PA DSO19110L) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2014-12-31 |