| NPI | 1568869360 |
|---|---|
| Doing Business As | FRESH DENTAL SMILES |
| Entity Type | Organization |
| Authorized Contact | DEBORAH E LUIS Dentist 954-741-6556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN19798) |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2015-03-11 |