NPI | 1467799205 |
---|---|
Doing Business As | GROWING SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | RANDALL K HECKERT President 707-443-6781 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2013-01-14 |
Last Update Date | 2013-01-14 |