| NPI | 1144048661 |
|---|---|
| Doing Business As | COCONUT SMILES PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MARISSA MARGARET CARVALHO President 424-458-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |