NPI | 1528753167 |
---|---|
Doing Business As | SEDONA SMILES |
Entity Type | Organization |
Authorized Contact | SHAWN KINNEY Member/Owner 260-479-5853 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-04-10 |
Last Update Date | 2023-04-10 |