| 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 |