NPI | 1770741183 |
---|---|
Doing Business As | SIMPLY SMILES |
Entity Type | Organization |
Authorized Contact | BRIANA LEIGH OLLER President/Dentist 618-567-8487 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026211) |
Enumeration Date | 2008-06-02 |
Last Update Date | 2008-06-02 |