NPI | 1477134112 |
---|---|
Doing Business As | SMILE ZONE DENTAL |
Entity Type | Organization |
Authorized Contact | MICHAEL SCHAAF Director 269-217-6442 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2021-04-15 |
Last Update Date | 2021-07-29 |