| NPI | 1811712144 |
|---|---|
| Doing Business As | KIDS SMILES |
| Entity Type | Organization |
| Authorized Contact | WENDY WAKEFIELD Practice Administrator 314-270-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2024-11-21 |