| NPI | 1295062719 |
|---|---|
| Doing Business As | HEALTHY SMILES ORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | MIKE HASSING CEO 304-596-2610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2022-09-29 |