| NPI | 1861559056 |
|---|---|
| Doing Business As | DELAND SMILES |
| Entity Type | Organization |
| Authorized Contact | RONALD MARK MATHIAS President 386-736-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: FL DN14336) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2013-12-13 |