NPI | 1205554300 |
---|---|
Doing Business As | HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC |
Entity Type | Organization |
Authorized Contact | JACQUES BENCHIMOL Owner 954-397-1452 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2022-08-16 |
Last Update Date | 2022-08-16 |