| NPI | 1619706504 |
|---|---|
| Doing Business As | SMILES DENTAL LYNNWOOD |
| Entity Type | Organization |
| Authorized Contact | CHELSEA NUEVO Operations Director 907-301-6112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-07-29 |