| NPI | 1801623616 |
|---|---|
| Doing Business As | SMILES ON LITTLE MACK |
| Entity Type | Organization |
| Authorized Contact | DIANA JENNY WHITTAKER Owner Dentist 586-285-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |