| NPI | 1700278637 |
|---|---|
| Former Legal Business Name | GREAT SMILES DENTAL OF FORT LAUDERDALE |
| Entity Type | Organization |
| Authorized Contact | MARCELA D MURCIA Dentist 954-675-2644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |