NPI | 1790141828 |
---|---|
Doing Business As | SMOKEY POINT SMILES DENTISTRY |
Entity Type | Organization |
Authorized Contact | BRIAN S BIENSTOCK Owner 360-208-0492 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2016-01-05 |
Last Update Date | 2016-02-04 |