| NPI | 1073874723 |
|---|---|
| Former Legal Business Name | LITTLE SMILES DENTAL # 1 |
| Entity Type | Organization |
| Authorized Contact | GONZALO E CORTES Owner 305-698-7566 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: FL DN16953) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-05-30 |