| NPI | 1891336533 |
|---|---|
| Doing Business As | WOW SMILES |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA J RUSSO Director Of Finance 707-230-5602 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |