NPI | 1912179516 |
---|---|
Doing Business As | SMILES ON MEETING STREET |
Entity Type | Organization |
Authorized Contact | KWANE MITCHELL WATSON Owner 502-776-1754 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: KY 7483) |
Enumeration Date | 2008-03-24 |
Last Update Date | 2008-03-24 |