| NPI | 1225150261 |
|---|---|
| Former Legal Business Name | ACOSTA SMILE, LTD |
| Entity Type | Organization |
| Authorized Contact | DAVID DEJESUS ACOSTA General Dentist 520-889-6622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AZ D5235) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |