SMILE UP DENTAL LLC

NIXA, MO
NPI1356817340
Entity TypeOrganization
Authorized ContactANTHONY LEE
Owner/Dentist
417-494-5017
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2018-10-17
Last Update Date2018-10-17
Business Address
SMILE UP DENTAL LLC
708 W MOUNT VERNON ST
NIXA, MO 65714-9682
Phone number: 417-494-5017
Mailing Address
SMILE UP DENTAL LLC
708 W MOUNT VERNON ST
NIXA, MO 65714-9682
Phone number: 417-494-5017