| NPI | 1790144210 |
|---|---|
| Doing Business As | ONE SMILE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | DAVID KEVIN ROWAN Owner 662-534-4397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2885-95) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 3737-14) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |