| NPI | 1679216576 |
|---|---|
| Doing Business As | SMILESDENTIST |
| Entity Type | Organization |
| Authorized Contact | RICHARD W LAUDERBACK Owner/Dentist 423-741-0120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |