| NPI | 1972364032 |
|---|---|
| Doing Business As | JENSEN BEACH SMILES |
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER NAHAT President 813-842-1774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2024-01-17 |
| Last Update Date | 2024-01-17 |