| NPI | 1568060937 |
|---|---|
| Doing Business As | HAPPY FRIENDLY SMILES |
| Entity Type | Organization |
| Authorized Contact | ANDREW WEAVER Manager 904-395-7772 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2020-10-16 |
| Last Update Date | 2023-06-13 |