| NPI | 1831603968 |
|---|---|
| Doing Business As | PEABODY SMILE DESIGN |
| Entity Type | Organization |
| Authorized Contact | DHARA SHAH Owner 517-316-6314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2023-04-24 |