NPI | 1760237002 |
---|---|
Doing Business As | NOCATEE SMILE COMPANY |
Entity Type | Organization |
Authorized Contact | ANDREW AWAD CEO And Dentist 904-515-3308 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 122300000X Dentist |
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics | |
261QD0000X Clinic/Center, Dental | |
Enumeration Date | 2024-04-19 |
Last Update Date | 2024-10-21 |