| NPI | 1801641519 |
|---|---|
| Other Name | THE SMILE DEN |
| Entity Type | Organization |
| Authorized Contact | PURVY SHAH Owner/Orthodontist 267-210-1849 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2024-04-17 |