| NPI | 1568976041 |
|---|---|
| Doing Business As | SMILES BY THE LAKE |
| Entity Type | Organization |
| Authorized Contact | RICHARD DEAN RHOADS Dentist 308-293-1061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: KS 61157) |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2023-03-08 |