| NPI | 1891571881 |
|---|---|
| Doing Business As | MOUNT DORA SMILES PLLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER TRANG VAN CEO 954-483-8184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2023-09-05 |