| 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 |