| NPI | 1962272443 |
|---|---|
| Doing Business As | CRAFTING SMILES |
| Entity Type | Organization |
| Authorized Contact | ERNESTO ULLOA Owner General Dentist 813-297-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-04 |
| Last Update Date | 2024-01-04 |