NPI | 1598471260 |
---|---|
Doing Business As | SMILE AVENUE |
Entity Type | Organization |
Authorized Contact | ADITYA MEHTA Dds/Owner 224-656-0567 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2023-01-26 |
Last Update Date | 2023-01-26 |