| NPI | 1417189697 |
|---|---|
| Doing Business As | DESERT SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | CARMEN WOODS Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-02-07 |