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Organization

SMILE PLUS DENTAL GROUP INC

Active
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Organization

SMILE PLUS DENTAL GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VIVIENNE MARIE LUGO GONZALEZ DMD (CEO)
(813) 690-0666
Entity
Organization

Contact information

Practice address
1507 N JOHN YOUNG PKWY STE B, KISSIMMEE, FL 34741-3214
(813) 690-0666
Mailing address
4200 W CYPRESS ST STE 690, TAMPA, FL 33607-4112
(813) 690-0666

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/11/2026
Last updated
03/11/2026
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