| NPI | 1689861841 |
|---|---|
| Doing Business As | SMILE KEEPERS DENTAL |
| Entity Type | Organization |
| Authorized Contact | LARRY A. MOE Dentist 209-533-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-01 |