| NPI | 1992414981 |
|---|---|
| Doing Business As | SMILE AVENUE FAMILY & COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MISTY JUSKUSKY Manager 615-878-1595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2022-11-17 |