Organization
SMILE TO SMILE FAMILY DENTAL & SEDATION CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAWN M GRANDISON D.D.S. (PRESIDENT)
(302) 222-8106
Entity
Organization
Contact information
Practice address
429 S GOVERNORS AVE, DOVER, DE 19904-6707
(302) 222-8106
(302) 736-0732
Mailing address
83 MERION RD, DOVER, DE 19904-2320
(302) 222-8106
(302) 736-0732
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
G1-0001161
DE
261QD0000X
Dental Clinic/Center
G4-0001201
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0001030831
—
DE
05
—
1000024575
—
DE
Enumeration date
02/23/2010
Last updated
02/23/2010
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