NPI 1023836673
Smile Brilliant Ventures
Practice location
- Address
- 1645 Headland Dr, Fenton, MO 63026-2836
- Phone
- (855) 944-8361
Authorised official
- Name
- Michael Bluestone
- Title
- Business Owner
- Phone
- (314) 409-3598
Registered specialties
Dental Laboratory
Primary
Registry record
- NPI
- 1023836673
- Entity type
- Organization
- NPI issued
- 2 Oct 2024
- Record last updated
- 2 Oct 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.