NPI | 1457100455 |
---|---|
Doing Business As | THE SMILE STUDIO |
Entity Type | Organization |
Authorized Contact | ALEXANDRA BURNHAM Owner 623-694-8674 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-05-14 |
Last Update Date | 2024-05-14 |