| NPI | 1306603212 |
|---|---|
| Doing Business As | SMILE LOUNGE OF EDMOND |
| Entity Type | Organization |
| Authorized Contact | AMIN PAKZAD Owner 405-562-6606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-03-06 |
| Last Update Date | 2024-03-06 |