Smile Wit Confident, LLC
Clinic/Center, Dental in Jonesboro, GA. Organization (NPI-2).
NPI number1982258968
StatusActive
Last updated in NPPESNov 27, 2023
Details
- NPI
- 1982258968
- Entity type
- Organization (NPI-2)
- Legal business name
- Smile Wit Confident, LLC
- Organization subpart
- No
- Enumeration date
- Jul 29, 2019
- Last updated
- Nov 27, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
6465 Tara BlvdJonesboro, GA 30236-1214
Phone 770-629-6222 · Fax 678-672-3131
Mailing address
6465 Tara BlvdJonesboro, GA 30236-1214
Phone 770-629-6222 · Fax 678-672-3131
Authorized official
Vicky Munoz
General Manager
7706296222
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