| NPI | 1619308566 |
|---|---|
| Doing Business As | THE KID'S SMILE PLACE |
| Entity Type | Organization |
| Authorized Contact | APRIL D SPIVEY Practice Manager 767-617-4750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: IN 12008126A) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |