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 |