| NPI | 1659199818 |
|---|---|
| Doing Business As | SMILES OF AUSTIN |
| Entity Type | Organization |
| Authorized Contact | NICOLE D CARIDE Credentialing 727-226-0186 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223G0001X Dentist, General Practice | |
| Enumeration Date | 2024-09-27 |
| Last Update Date | 2024-09-27 |