| 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 |