| NPI | 1295514651 |
|---|---|
| Doing Business As | SMILE N SHINE DENTAL |
| Entity Type | Organization |
| Authorized Contact | MANJUSHA TUMMALA General Dentist 848-391-6885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2023-10-15 |