| NPI | 1205480696 |
|---|---|
| Doing Business As | NORTH PORT SMILES |
| Entity Type | Organization |
| Authorized Contact | KARISSA ROTTENBERK Virtual Assistant 941-312-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |