NPI | 1982266979 |
---|---|
Doing Business As | SMILE SQUAD |
Entity Type | Organization |
Authorized Contact | CARLY ROSS Executive Director 515-244-9136 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2019-07-01 |
Last Update Date | 2022-10-04 |