| NPI | 1477321453 |
|---|---|
| Doing Business As | SMILES ON THE BOULEVARD |
| Entity Type | Organization |
| Authorized Contact | LORI A HAWKINS Dentist 740-423-8416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2023-12-19 |