NPI | 1558600288 |
---|---|
Other Name | SMILES BY DESIGN |
Entity Type | Organization |
Authorized Contact | JOHN STEPHEN SELDEN Owner/Dentist 704-637-6717 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NC 7048) |
Additional Taxonomies | 122300000X Dentist (Licence: NC 9850) |
1223G0001X Dentist, General Practice (Licence: NC 9233) | |
Enumeration Date | 2013-01-31 |
Last Update Date | 2015-07-15 |