NPI | 1871794131 |
---|---|
Doing Business As | BRILLIANT SMILES |
Entity Type | Organization |
Authorized Contact | JONELL L. VOSKUHL Administrator 937-376-9975 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: OH 18186) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |