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 |