| NPI | 1447942131 |
|---|---|
| Doing Business As | TAMPA BAY SMILES |
| Entity Type | Organization |
| Authorized Contact | MATEO VIDALES Owner 813-818-8054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |