| 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 |