| NPI | 1710157250 |
|---|---|
| Doing Business As | SMILEMAKERS FAMILY DENTAL GROUP WEST |
| Entity Type | Organization |
| Authorized Contact | COLLEEN R AVERY Company Manager 614-276-6226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 30013969) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-03-11 |