| NPI | 1568141349 |
|---|---|
| Doing Business As | WHOLE SMILES |
| Entity Type | Organization |
| Authorized Contact | ASHLEY HAZELTON President 559-458-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 124Q00000X Dental Hygienist |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-08-04 |