| NPI | 1497523559 |
|---|---|
| Doing Business As | OTTAWA SMILES |
| Entity Type | Organization |
| Authorized Contact | MIN KIM Owner 314-503-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2023-12-18 |
| Last Update Date | 2024-12-30 |