| NPI | 1740308576 |
|---|---|
| Doing Business As | SMILES ON MAIN |
| Entity Type | Organization |
| Authorized Contact | KETANKUMAR G PATEL Dentist 678-762-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: GA DN012835) |
| Additional Taxonomies | 122300000X Dentist (Licence: GA DN008017) |
| 122300000X Dentist (Licence: GA DN007359) | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2014-11-13 |