| NPI | 1801672050 |
|---|---|
| Doing Business As | SMILE COVE PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW DIETRICH President 863-398-0013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |