NPI | 1609332733 |
---|---|
Doing Business As | SMILE MAGIC |
Entity Type | Organization |
Authorized Contact | CRAIG COPELAND Dentist/Owner 940-220-7833 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2019-02-13 |
Last Update Date | 2019-02-13 |