| NPI | 1588314686 |
|---|---|
| Doing Business As | LAKE MARY SMILES |
| Entity Type | Organization |
| Authorized Contact | PETER KELLY Owner 407-333-7393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-03-24 |
| Last Update Date | 2022-03-24 |