NPI | 1659652519 |
---|---|
Doing Business As | SMILES RESTORED |
Entity Type | Organization |
Authorized Contact | ERIC HANSON Owner 435-688-2772 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: UT 72511389921) |
Enumeration Date | 2011-09-06 |
Last Update Date | 2021-10-25 |