| NPI | 1679952865 |
|---|---|
| Doing Business As | SURFIN SMILES |
| Entity Type | Organization |
| Authorized Contact | DENISE ROBIN PRUGH Owner 307-265-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-05-21 |
| Last Update Date | 2015-05-21 |