| NPI | 1912026063 |
|---|---|
| Doing Business As | SMILES FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | JEROMY R. DIXSON Partner 360-577-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: WA DE00009942) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WA DE00008175) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2010-03-18 |