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Lake Mary Smiles, Pllc
Dental Clinic/Center in Lake Mary, Florida
NPI 1588314686

Lake Mary Smiles, Pllc is a Dental Clinic/Center based in Orlando, FL and is specialized in Dental. Lake Mary Smiles, Pllc practices in Lake Mary, FL. The NPI Number for Lake Mary Smiles, Pllc is 1588314686 and holds a License No. (Florida).

The current practice location address for Lake Mary Smiles, Pllc is 570 Rinehart Rd Ste 110, Lake Mary, FL and can be reached out via phone at 407-333-7393.

Location: 570 Rinehart Rd Ste 110, Lake Mary, FL, 32812-7354
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588314686
Provider Name
Lake Mary Smiles, Pllc
Credential
Provider Entity Type
Organization
Address
570 Rinehart Rd Ste 110, Lake Mary, FL, 32812-7354
Phone Number
407-333-7393
Fax Number
Provider Enumeration Date
03/24/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DM19430 01 FL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
570 Rinehart Rd Ste 110
City
Lake Mary
State
Florida
Zip
32746-4801
Phone Number
407-333-7393
Fax Number
person
Provider Business Mailing Address Details
Address
570 Rinehart Rd Ste 110
City
Lake Mary
State
Florida
Zip
32746-4801
Phone Number
407-333-7393
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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