| NPI | 1487311296 |
|---|---|
| Doing Business As | SMILE CARE 360 |
| Entity Type | Organization |
| Authorized Contact | PETER GRUMBOS Owner 843-410-4920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2021-11-29 |