| NPI | 1952598310 |
|---|---|
| Doing Business As | SMILE JUNCTION PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | NIKKI GIOVONNE TUCKER President 336-538-1608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: NC 7497) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2011-01-12 |