NPI | 1447994496 |
---|---|
Doing Business As | BEAUTIFUL SMILES |
Entity Type | Organization |
Authorized Contact | BENJAMIN RAY STEVENS Dentist 317-480-0864 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |