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 |