| NPI | 1609076694 |
|---|---|
| Doing Business As | SMILES DENITSTRY, LLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW W HILLMAN Member 913-685-9990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: KS 60447) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |