| NPI | 1528308202 |
|---|---|
| Doing Business As | SOUND SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TYLER J SHAWCROFT Chief Officer 385-208-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2013-02-18 |