NPI | 1003113879 |
---|---|
Doing Business As | REBEL SMILES ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | NICOLE CARIDE Credentialing 727-784-2721 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2011-02-14 |
Last Update Date | 2025-03-13 |