NPI | 1518572916 |
---|---|
Doing Business As | SMILE ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | DOUGLAS WOLFF Owner 651-351-7777 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-10-15 |