| NPI | 1508428954 |
|---|---|
| Doing Business As | SOULSMILE |
| Entity Type | Organization |
| Authorized Contact | DANIEL DECILLIS Managing Member 704-557-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-06 |
| Last Update Date | 2019-07-06 |