| NPI | 1295439768 |
|---|---|
| Doing Business As | GROWING SMILE PEDIATRIC DENTISTRY AND BRACES |
| Entity Type | Organization |
| Authorized Contact | SHAHNAAZ NISTAR Dentist/Owner 917-892-3625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-03-29 |
| Last Update Date | 2023-03-29 |