| NPI | 1881778801 |
|---|---|
| Doing Business As | KOOL SMILES |
| Former Legal Business Name | KOOL SMILES INI-2,PC |
| Entity Type | Organization |
| Authorized Contact | DAVID VIETH Chief Dental Officer 770-916-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 1223E0200X Dentist, Endodontics |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2019-05-13 |