| NPI | 1902510183 |
|---|---|
| Doing Business As | SMILE REPUBLIC ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | JUSTIN CHRISTOPHER BERMAN CEO 786-351-9233 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2023-01-11 |
| Last Update Date | 2023-01-11 |