| NPI | 1891250429 |
|---|---|
| Doing Business As | THE SMILE SPACE |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA LEE Orthodontist 917-868-7381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-02-07 |