NPI | 1477192821 |
---|---|
Doing Business As | SANFORD SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | JAE KIM Owner 617-519-8924 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2020-01-02 |
Last Update Date | 2020-01-02 |