| NPI | 1861882201 |
|---|---|
| Doing Business As | KIDDSMILES PLLC |
| Entity Type | Organization |
| Authorized Contact | DANA HUTTER Insurance Coordinator 631-576-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |