| NPI | 1508242876 |
|---|---|
| Doing Business As | COMMUNITY SMILES |
| Entity Type | Organization |
| Authorized Contact | MARIO ALVAREZ COO 305-363-2218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: FL DN14199) |
| Enumeration Date | 2015-08-10 |
| Last Update Date | 2017-03-23 |