| NPI | 1487371589 |
|---|---|
| Doing Business As | MOUNT VERNON DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | MARTHA HARP Cbo Leader 678-372-7358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-10-20 |
| Last Update Date | 2022-10-20 |