NPI | 1912394834 |
---|---|
Doing Business As | KRISTAL SMILES |
Entity Type | Organization |
Authorized Contact | THOMAS BRAUN Manager 203-754-7100 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: CT 005825) |
Enumeration Date | 2015-04-17 |
Last Update Date | 2015-04-17 |