| NPI | 1508931205 |
|---|---|
| Doing Business As | LIFESMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL W KRUEGER Owner President 765-743-3779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12010165) |
| Additional Taxonomies | 122300000X Dentist (Licence: IN 12010165A) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2008-07-08 |