NPI | 1851960728 |
---|---|
Doing Business As | HANDCRAFTED SMILES AH |
Entity Type | Organization |
Authorized Contact | KENNY MATEE GOMOLPLITINANT President 847-357-3899 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2021-06-23 |
Last Update Date | 2021-07-07 |