| NPI | 1366851685 |
|---|---|
| Other Name | SMILES FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | BECKY MCINTYRE Office Manager 540-828-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 401412556) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: VA 401412556) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-10-06 |