NPI | 1376775510 |
---|---|
Doing Business As | KOOL SMILES |
Entity Type | Organization |
Authorized Contact | DAVID M VIETH President 770-916-5036 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
1223E0200X Dentist, Endodontics | |
Enumeration Date | 2009-08-21 |
Last Update Date | 2025-09-02 |