| NPI | 1427618883 |
|---|---|
| Doing Business As | SHABO DENTAL SMILE STUDIO |
| Entity Type | Organization |
| Authorized Contact | KATIE WORKMAN Analyst, Revenue Cycle Management 440-241-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |