| NPI | 1881102572 |
|---|---|
| Doing Business As | BEAUTIFUL SMILES |
| Entity Type | Organization |
| Authorized Contact | ROBERT KIEVIT Owner 860-748-5256 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |