| NPI | 1780110064 |
|---|---|
| Doing Business As | SMILE BALLARD |
| Entity Type | Organization |
| Authorized Contact | DOMINICK CURALLI Member 206-784-6310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: WA DE00010301) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2023-12-15 |