NPI | 1376169094 |
---|---|
Doing Business As | COMMUNITY SMILES |
Entity Type | Organization |
Authorized Contact | SCHANZE ZAIDI Compliance Officer 609-403-0710 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-06-18 |
Last Update Date | 2020-06-30 |