Organization Name: | ARNOLD SMILES |
NPI Number: | 1154675262 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIN MARISCAL (MANAGER) |
Mailing Address: | 124 Richardson Xing Arnold |
State: | MO US |
Postal Code: | 630106023 |
Phone Number: | 6364646444 |
Fax Number: | |
NPI Enumeration Date: | 10/29/2012 |
NPI Last Update Date: | 10/29/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QD0000X |
License Number: | 2003013103 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Dental |
Taxonomy Definition: |