| NPI | 1639770449 |
|---|---|
| Doing Business As | EXCEPTIONAL SMILES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNSON Credentialing Specialist 509-315-8338 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |