Smiles 4 Kids Jackson LLC

NPI #1184999542 in Jackson, Wyoming

Provider Information

NPI Number
1184999542
Entity Type
Organization
Organization Name
Smiles 4 Kids Jackson LLC
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Mar 19, 2012
Last Updated
Apr 9, 2015

Practice Location

Address
1315 S HWY 89
Address 2
SUITE 102
State
Wyoming
ZIP Code
83001-8514
Phone
(208) 716-9724

Authorized Official

Name
DR. KORY D BINGHAM, D.D.S.
Title
OWNER
Phone
(208) 716-9724

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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