| NPI | 1609648179 |
|---|---|
| Doing Business As | SUGAR CREEK SMILES |
| Entity Type | Organization |
| Authorized Contact | BRANDON J STAFFORD Owner 507-208-3987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |