| NPI | 1679747109 |
|---|---|
| Doing Business As | THE BEAUTIFUL SMILE |
| Entity Type | Organization |
| Authorized Contact | JUSTIN CARL NEWINGHAM President 248-644-1810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MI 19096) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2008-04-16 |