| NPI | 1639676455 |
|---|---|
| Other Name | COURT STREET SMILES |
| Entity Type | Organization |
| Authorized Contact | KEITH J HELLER Partner 347-921-1734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |