| NPI | 1710549324 |
|---|---|
| Doing Business As | PROFESSIONAL SMILES |
| Entity Type | Organization |
| Authorized Contact | NOLVERIS FROMETA CEO 321-354-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2019-07-03 |