NPI | 1366916892 |
---|---|
Doing Business As | LITTLE SMILE CO. PEDIATRIC DENTISTRY & ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | ROENIKYA PHILLIPS Owner/ Pediatric Dentist 662-801-6861 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2019-01-17 |
Last Update Date | 2019-02-05 |