| NPI | 1386144053 |
|---|---|
| Doing Business As | SMILES ON NILES |
| Entity Type | Organization |
| Authorized Contact | ANJANA GUPTA Dentist/Owner 269-429-2511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2020-08-18 |