Organization
BIGSMILE INC.
Active
Other names
Big Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARTER MILAN WALLER DMD (OWNER DENTIST)
(561) 901-4700
Entity
Organization
Contact information
Practice address
1315 EMANCIPATION HWY, FREDERICKSBURG, VA 22401-4640
(540) 899-1777
(540) 899-2266
Mailing address
1315 EMANCIPATION HWY, FREDERICKSBURG, VA 22401-4640
(540) 899-1777
(540) 899-2266
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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