| NPI | 1760365563 |
|---|---|
| Doing Business As | CANTON HEALTHY SMILES |
| Entity Type | Organization |
| Authorized Contact | PAOLA LOPEZ Credentialing Team Lead 972-869-3789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |