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 |