| NPI | 1225371693 |
|---|---|
| Former Legal Business Name | BEAUTYFUL SMILES INC. |
| Entity Type | Organization |
| Authorized Contact | JAVIER GALLARDO Dentist 787-460-5667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: PR 2529) |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-09-05 |