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Organization
ST. CLOUD SMILES, INC.
Active
Organization
ST. CLOUD SMILES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JENNIFER TRANG VAN D.M.D (OWNER)
(954) 483-8184
Entity
Organization
Contact information
Practice address
2050 OLD HICKORY TREE RD, SUITE J, SAINT CLOUD, FL 34772-8926
(407) 556-3969
Mailing address
2050 OLD HICKORY TREE RD, SUITE J, SAINT CLOUD, FL 34772-8926
(407) 556-3969
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN18003
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000333100
—
FL
Enumeration date
06/08/2010
Last updated
06/08/2010
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