SMILES 4 KIDS JACKSON LLC
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1184999542- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1315 S HWY 89 SUITE 102, JACKSON, WY, 830018514
- Phone
- (208) 716-9724
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: WY #1361