| NPI | 1376099002 |
|---|---|
| Doing Business As | ABUNDANT SMILES |
| Entity Type | Organization |
| Authorized Contact | JESSICA MERVAU Owner 269-908-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: CO 00202605) |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2016-09-01 |