| NPI | 1497456370 |
|---|---|
| Doing Business As | FORTUNE SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SOLMAZ FORUTAN President 608-628-7492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-27 |