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Organization
SMILE DESIGNS BY DR. CHARLOTTE GERRY L/O
Active
Organization
SMILE DESIGNS BY DR. CHARLOTTE GERRY L/O
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLOTTE Y GERRY D.M.D. (PRESIDENT)
(386) 362-6800
Entity
Organization
Contact information
Practice address
530 HOWARD ST E, LIVE OAK, FL 32064-3306
(386) 362-6800
(386) 364-5199
Mailing address
530 HOWARD ST E, LIVE OAK, FL 32064-3306
(386) 362-6800
(386) 364-5199
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN14223
FL
Other
Enumeration date
04/14/2008
Last updated
04/14/2008
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