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Organization
RIVERVIEW SMILES DENTISTRY, PA
Active
Organization
RIVERVIEW SMILES DENTISTRY, PA
Active
Other names
Riverview Modern Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MINH PHAM (OWNER)
(813) 367-9496
Entity
Organization
Contact information
Practice address
11345 S. US HIGHWAY 301, SUITE 104, RIVERVIEW, FL 33578
(813) 367-9496
(813) 367-9973
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/13/2023
Last updated
04/13/2023
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