NPI | 1376061028 |
---|---|
Doing Business As | FRESH SMILES DENTAL |
Entity Type | Organization |
Authorized Contact | ANWAR ABDUL-NABI Owner/Dentist 314-846-1480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MO 2015002919) |
Enumeration Date | 2017-09-01 |
Last Update Date | 2022-07-21 |