| NPI | 1841965738 |
|---|---|
| Other Name | GREAT SMILES 4 YOU |
| Entity Type | Organization |
| Authorized Contact | TIFFANY E HIGHTOWER Office Manager 336-226-2525 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-08-12 |
| Last Update Date | 2022-12-28 |