| NPI | 1649695339 |
|---|---|
| Doing Business As | POISHED THE DENTAL SPA |
| Entity Type | Organization |
| Authorized Contact | TAYLOR BLACKWOOD President 901-275-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D7870) |
| Additional Taxonomies | 124Q00000X Dental Hygienist (Licence: AZ H007556) |
| 124Q00000X Dental Hygienist (Licence: AZ H007508) | |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-03-04 |