| NPI | 1932804077 |
|---|---|
| Doing Business As | HEALTHY SMILES FOREVER PRESTIGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | KATHRYN SUZANNE MILLER Dental Accounts Manager 907-317-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |