| NPI | 1649010513 |
|---|---|
| Former Legal Business Name | M&R GENTLE SMILE |
| Entity Type | Organization |
| Authorized Contact | MARISOLY DANIEL President 305-804-3011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-29 |
| Last Update Date | 2024-05-29 |