| NPI | 1306212170 |
|---|---|
| Doing Business As | PARKWAY SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | DAVID GUILBEAULT Owner/Dentist 618-643-9523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2015-08-17 |
| Last Update Date | 2022-07-21 |