| NPI | 1104969039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD A. SMITH Dentist 305-652-8338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN 12408) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-06-13 |