NPI | 1407321250 |
---|---|
Doing Business As | ISMILE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | JEFFREY CHAD JOHNSON Owner 704-743-7278 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2018-10-08 |
Last Update Date | 2018-10-08 |