| NPI | 1942074224 |
|---|---|
| Doing Business As | ALL STAR SMILES |
| Entity Type | Organization |
| Authorized Contact | JODI JEAN WADE Office Administrator 501-747-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2023-11-08 |