| NPI | 1700144136 |
|---|---|
| Doing Business As | THE SMILE SUITE |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL GORDON ELLIS Managing Owner 240-565-8159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MD 14220) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |