| NPI | 1578122172 |
|---|---|
| Doing Business As | BRANDON SMILE CENTER |
| Entity Type | Organization |
| Authorized Contact | VLADIMIR AMOS AVRIL Doctor/Owner 305-206-3718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-11 |