| NPI | 1184090680 |
|---|---|
| Doing Business As | SMILES IN THE GARDENS |
| Entity Type | Organization |
| Authorized Contact | CHARLES ETHEREDGE Dentist/Owner 561-627-9056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL 15646) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2015-08-19 |