| NPI | 1033680830 |
|---|---|
| Doing Business As | GREAT SMILE DENTAL |
| Entity Type | Organization |
| Authorized Contact | AARON SCHAMBACK Dentist/Owner 772-398-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2018-12-06 |