| NPI | 1245008259 |
|---|---|
| Doing Business As | ISLAND CITY SMILES |
| Entity Type | Organization |
| Authorized Contact | CHRIS SHULTZ VP Operations 954-821-1751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2023-12-19 |
| Last Update Date | 2024-01-03 |