SMILE REVIVAL LLC

BEREA, KY
NPI1982561718
Entity TypeOrganization
Authorized ContactANDREW WHITE
Sole Manager
859-810-8320
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2026-01-05
Last Update Date2026-04-13
Business Address
SMILE REVIVAL LLC
178 MINI MALL DR
BEREA, KY 40403-1170
Phone number: 859-231-0596
Mailing Address
SMILE REVIVAL LLC
105 SPRUCE ST
LEXINGTON, KY 40507-2109
Phone number: 859-231-0596