| NPI | 1679215834 |
|---|---|
| Doing Business As | WILLIAMSBURG SMILE CARE |
| Entity Type | Organization |
| Authorized Contact | JOELLE LAQUITA MARIE HAIRSTON Managing Member 912-661-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-08 |
| Last Update Date | 2022-04-08 |