| NPI | 1316711922 |
|---|---|
| Doing Business As | SMILE MAKER |
| Entity Type | Organization |
| Authorized Contact | DMITRY KARAGODSKY Authorized Official, Doctor 215-969-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |