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 |