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Organization
SMILE PLUS DENTAL GROUP INC
Active
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
1421 US HIGHWAY 98, LAKELAND, FL 33801-6574
(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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