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 |