| NPI | 1215715990 |
|---|---|
| Doing Business As | CELEBRATING SMILES |
| Entity Type | Organization |
| Authorized Contact | STACY POPE Project Manager 616-283-8867 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |