NPI | 1881904084 |
---|---|
Doing Business As | SMILE STUDIO OF HENDERSON |
Entity Type | Organization |
Authorized Contact | TINA GUPTA Dentist 252-572-2520 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2010-10-21 |
Last Update Date | 2010-10-21 |