NPI | 1740058072 |
---|---|
Former Legal Business Name | THE SMILE MISSION PLLC |
Entity Type | Organization |
Authorized Contact | DUSTIN PFUNDHELLER Manager 786-701-8246 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2023-12-15 |
Last Update Date | 2023-12-15 |