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Organization
DESOTO COUNTY HEALTH DEPARTMENT
Active
Organization
DESOTO COUNTY HEALTH DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES SMITH DDS (DENTIST)
(863) 993-4570
Entity
Organization
Contact information
Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4570
Mailing address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4570
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DN5332
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SSN
—
01
—
DN5332
LICENSE #
FL
Enumeration date
09/11/2006
Last updated
08/22/2020
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