| NPI | 1982868634 |
|---|---|
| Doing Business As | ELITE SMILES |
| Entity Type | Organization |
| Authorized Contact | STEVEN RONALD FREEMAN Dentist 904-940-3933 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: FL DN17155) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2008-07-11 |