| NPI | 1114325776 |
|---|---|
| Doing Business As | MERRITT ISLAND SMILES |
| Entity Type | Organization |
| Authorized Contact | ANTHONY JOHN SIDOR Dentist 321-453-1890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN13170) |
| Enumeration Date | 2014-12-15 |
| Last Update Date | 2014-12-15 |