| NPI | 1720346117 |
|---|---|
| Doing Business As | MY KID'S SMILE |
| Entity Type | Organization |
| Authorized Contact | J JUSTIN WILKERSON Manager 775-823-9797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NV S6-20) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2014-11-05 |