NPI | 1134494396 |
---|---|
Doing Business As | SIGNATURE SMILES |
Entity Type | Organization |
Authorized Contact | JOSE M MARTINEZ Ownre/President 904-996-8162 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: FL 13951) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |