| NPI | 1942899836 |
|---|---|
| Doing Business As | TRU SMILE PEORIA |
| Entity Type | Organization |
| Authorized Contact | HAN CHOI Dds 908-783-2311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |