| NPI | 1679988588 |
|---|---|
| Doing Business As | SMILEWORKS YOUTH DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | STEVEN RICHARD CLUTE President 260-625-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IN 12010603A) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-07-18 |