NPI | 1447716741 |
---|---|
Doing Business As | WONDERFUL SMILES |
Entity Type | Organization |
Authorized Contact | MONIKA MAHAJAN General Dentist 509-307-3837 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-02-12 |
Last Update Date | 2019-02-12 |