| NPI | 1376110460 |
|---|---|
| Former Legal Business Name | KLEAN SONRISAS DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | VIVIANA SUAREZ Manager 678-768-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |