| NPI | 1720327125 |
|---|---|
| Doing Business As | BRADENTON SMILES DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALLISON VARNER Insurnace/Credentialing 217-540-5100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2013-02-05 |