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Organization
SMILES AT CITRUS AND 5TH, P.A.
Active
Organization
SMILES AT CITRUS AND 5TH, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PERRY EKSTRAND DDS (DENTIST)
(352) 795-1881
Entity
Organization
Contact information
Practice address
535 N CITRUS AVE, CRYSTAL RIVER, FL 34428-4016
(352) 795-1881
(352) 795-7081
Mailing address
535 N CITRUS AVE, CRYSTAL RIVER, FL 34428-4016
(352) 795-1881
(352) 795-7081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10736
FL
1223G0001X
General Practice Dentistry
DN17798
FL
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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