NPI | 1609574938 |
---|---|
Doing Business As | TRIDENT SMILE STUDIO |
Entity Type | Organization |
Authorized Contact | REBECCA NEAL TRIPLETT Owner, Dentist 704-703-9076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-02-16 |
Last Update Date | 2024-02-12 |