NPI | 1659093250 |
---|---|
Doing Business As | HEALTHY SMILES PASCAGOULA |
Doing Business As | HEALTHY SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KINYATTA BENNETT Owner 228-696-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-09-12 |
Last Update Date | 2022-10-01 |