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Organization
SMILE CENTRE PA
Active
Organization
SMILE CENTRE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRICIA LEIGH STANLEY (PRACTICE ADMINISTRATOR)
(941) 351-4468
Entity
Organization
Contact information
Practice address
5899 WHITFIELD AVE STE 105, SARASOTA, FL 34243-3127
(941) 351-4468
(941) 351-9361
Mailing address
5899 WHITFIELD AVE, SUITE 105, SARASOTA, FL 34243-6152
(941) 351-4468
(941) 351-9361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN12608
FL
1223G0001X
General Practice Dentistry
Primary
DN10983
FL
1223G0001X
General Practice Dentistry
DN16079
FL
124Q00000X
Dental Hygienist
DH15541
FL
124Q00000X
Dental Hygienist
DH6360
FL
Other
Enumeration date
11/06/2006
Last updated
11/15/2017
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