| NPI | 1942618590 |
|---|---|
| Former Legal Business Name | ISMILE AT PARKWAY DENTAL LLC |
| Entity Type | Organization |
| Authorized Contact | BRITNEY RIVERA Office Manager 435-256-6167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2018-07-13 |