| NPI | 1386889434 |
|---|---|
| Doing Business As | SPARKLING SMILES |
| Entity Type | Organization |
| Authorized Contact | TIARRA R RORIE Pediatric Dentist 336-625-1319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7630) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7650) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |