| NPI | 1518644293 |
|---|---|
| Doing Business As | THE SMILE MISSION FORT LAUDERDALE |
| Entity Type | Organization |
| Authorized Contact | DUSTIN MARK PFUNDHELLER Manager 786-701-8246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-07-03 |
| Last Update Date | 2023-08-28 |