| NPI | 1912188848 |
|---|---|
| Doing Business As | LIFESMILES OF COLLEGE PARK |
| Entity Type | Organization |
| Authorized Contact | DHARMESH PARBHOO Owner 770-997-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: GA GA011258) |
| Enumeration Date | 2007-11-20 |
| Last Update Date | 2007-11-20 |