| NPI | 1962133769 |
|---|---|
| Doing Business As | HEALTHY SMILES DENTAL |
| Entity Type | Organization |
| Authorized Contact | KEISY SILES Insurance Coordinator 703-204-1771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2022-06-22 |