NPI | 1477163939 |
---|---|
Doing Business As | SMILE FRESH DENTAL |
Entity Type | Organization |
Authorized Contact | FAUZI RAZIUDDIN Business Manger 810-603-3368 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-08-08 |
Last Update Date | 2020-08-08 |