| NPI | 1396173704 |
|---|---|
| Doing Business As | KENMORE SMILES FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BRADLEY S MOTT Member, Manager 763-227-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: WA DE60091370) |
| Enumeration Date | 2013-10-22 |
| Last Update Date | 2014-01-01 |