| NPI | 1306227129 |
|---|---|
| Doing Business As | SMILES BY DOCTOR D |
| Entity Type | Organization |
| Authorized Contact | MARTI BENNE Office Mananger 219-865-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12007851A) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |