NPI | 1316700115 |
---|---|
Doing Business As | BIG SMILE DENTAL |
Entity Type | Organization |
Authorized Contact | CARTER MILAN WALLER Owner Dentist 561-901-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2024-02-05 |
Last Update Date | 2024-02-05 |