NPI | 1831680172 |
---|---|
Doing Business As | REAL LIFE SMILES |
Entity Type | Organization |
Authorized Contact | DAMON B THOMPSON Owner 540-552-5433 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 401415504) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |