NPI | 1851014864 |
---|---|
Doing Business As | PRISTINE SMILES FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | NANDHINI BOGAVELLI Dentist 717-790-2184 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-09-23 |
Last Update Date | 2022-09-23 |