| NPI | 1437634672 |
|---|---|
| Doing Business As | MOUNT VERNON SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | WHITNEY FORSYTHE Business Owner 785-640-3557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2018-10-02 |