| NPI | 1508578576 |
|---|---|
| Former Legal Business Name | SMILING TEAM CORP |
| Entity Type | Organization |
| Authorized Contact | GENNYS N RUSSO DE ROMERO President 954-655-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-12-21 |
| Last Update Date | 2022-12-21 |