| NPI | 1639684079 |
|---|---|
| Doing Business As | THE SMILE SPOT |
| Entity Type | Organization |
| Authorized Contact | SHAYNA BAHR Manager 913-601-4413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |