| NPI | 1225812092 |
|---|---|
| Doing Business As | PIKEVILLE SMILES |
| Entity Type | Organization |
| Authorized Contact | FELICIA SHANAHAN-WHITE President 606-213-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2023-08-23 |