Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Voluntary or Charitable |
251V00000X | 61 | Voluntary Health or Charitable Agency[1] |
| NPI # | 1861720245 |
| LBN Legal business name | HEALTHY SMILES, INC. |
| Authorized official | SHANNON KRUCKEBERG - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 11/24/2009 |
| Last updated | 11/24/2009 - About 17 years ago |
| Identifiers | n/a |
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