| NPI | 1275229296 |
|---|---|
| Doing Business As | WIRY SMILES |
| Entity Type | Organization |
| Authorized Contact | RYAN PATRICK ROOT President Of Business Operations 719-406-2921 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-04-13 |
| Last Update Date | 2023-04-13 |