| NPI | 1912303413 |
|---|---|
| Doing Business As | FAYETTEVILLE SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KATIE L MCCANN Owner 770-953-6975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |