NPI | 1265828156 |
---|---|
Doing Business As | SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | LAI FERRELL Manager 870-336-5621 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: AR 2929) |
Additional Taxonomies | 122300000X Dentist (Licence: AR 3393) |
Enumeration Date | 2015-04-08 |
Last Update Date | 2015-04-08 |