| NPI | 1164639977 |
|---|---|
| Doing Business As | THE SPA FOR COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICK LECONTE President 561-691-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2020-08-22 |