| NPI | 1902566003 |
|---|---|
| Doing Business As | GENTLE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JOON JAE PARK Owner 414-545-6747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-30 |
| Last Update Date | 2021-12-30 |