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 |