NPI | 1215021795 |
---|---|
Former Legal Business Name | SMILES, INC. |
Entity Type | Organization |
Authorized Contact | DALE F. BURKE President 907-562-1686 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-10-02 |
Last Update Date | 2020-08-11 |