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Organization
SMILE TRUST DENTAL GROUP INC
Active
Organization
SMILE TRUST DENTAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUMBERTO DE JESUS VAZQUEZ DDS (CEO)
(800) 221-0401
Entity
Organization
Contact information
Practice address
205 1ST ST S, WINTER HAVEN, FL 33880-3255
(800) 221-0401
(863) 312-3707
Mailing address
4200 W CYPRESS ST STE 690, TAMPA, FL 33607-4112
(800) 221-0401
(863) 312-3707
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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