| NPI | 1831468107 |
|---|---|
| Doing Business As | SMILES FOR LIFE |
| Entity Type | Organization |
| Authorized Contact | KELLI WALKER Insurance/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2011-12-15 |
| Last Update Date | 2011-12-15 |