| NPI | 1326630690 |
|---|---|
| Doing Business As | SKYLINE SMILES |
| Entity Type | Organization |
| Authorized Contact | CHRIS WORTH Managing Member 218-329-2753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-02-09 |
| Last Update Date | 2021-02-09 |