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Organization
PREMIER SMILE CENTER
Active
Organization
PREMIER SMILE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARMAINE AUBREY JOHNSON-LEONG D.D.S. (OWNER)
(954) 566-7479
Entity
Organization
Contact information
Practice address
2717 E OAKLAND PARK BLVD, SUITE 100, FORT LAUDERDALE, FL 33306-1664
(954) 566-7479
(954) 306-6910
Mailing address
2717 E OAKLAND PARK BLVD, SUITE 100, FORT LAUDERDALE, FL 33306-1664
(954) 566-7479
(954) 306-6910
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15991
FL
Other
Enumeration date
05/22/2015
Last updated
05/22/2015
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