| NPI | 1750020624 |
|---|---|
| Doing Business As | CHILDSMILES 360 |
| Entity Type | Organization |
| Authorized Contact | CHANDA MASON President 843-732-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-05-31 |
| Last Update Date | 2022-05-31 |