| NPI | 1104637909 | 
|---|---|
| Doing Business As | SEA OF SMILES | 
| Entity Type | Organization | 
| Authorized Contact | ASHLEY CHANDLER Manager 863-644-0430  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry | 
| Enumeration Date | 2025-01-20 | 
| Last Update Date | 2025-07-14 |