| NPI | 1407212558 |
|---|---|
| Doing Business As | STELLAR SMILE FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GLENNA MORRIS Admin Officer 321-268-0108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |