| NPI | 1902449945 |
|---|---|
| Doing Business As | CAPE COD SMILES PC |
| Entity Type | Organization |
| Authorized Contact | SANG J LEE Owner 508-837-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |