| NPI | 1043838113 |
|---|---|
| Doing Business As | LASTING SMILES DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | MHD NADIM HAIDAR Owner Dentist 352-243-0018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2020-07-06 |