| NPI | 1699455196 |
|---|---|
| Doing Business As | BIG SMILES RANCH |
| Entity Type | Organization |
| Authorized Contact | JOEL TRIMBLE EDWARDS Owner 143-277-0178 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |