| NPI | 1285365023 |
|---|---|
| Doing Business As | GENUINE SMILES |
| Entity Type | Organization |
| Authorized Contact | ALEX LANE WENNER Owner 703-474-9018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |