| NPI | 1609901180 |
|---|---|
| Doing Business As | SMILES ON BROADWAY |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLISON REESE President 717-637-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: PA DS022762L) |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2020-08-22 |