NPI | 1235862889 |
---|---|
Doing Business As | BRILLIANT SMILES PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | SUFFIYAH WEBB Owner Pediatric Dentist 862-955-2285 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2022-07-01 |
Last Update Date | 2022-07-01 |