| NPI | 1609176569 |
|---|---|
| Doing Business As | SMILES FOR KIDS |
| Entity Type | Organization |
| Authorized Contact | SPENCER JOHN TASKER Owner/Dentist 505-892-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NM pt0111434) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |