NPI | 1174887095 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN SMITH BERLING Owner 863-640-2150 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: FL DN19011) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2012-06-25 |