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Organization
SMILE AT MARGATE
Active
Organization
SMILE AT MARGATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA SHAYAN DMD (DENTIST)
(954) 974-4400
Entity
Organization
Contact information
Practice address
5404 W ATLANTIC BLVD, MARGATE, FL 33063
(954) 974-4400
(954) 974-4402
Mailing address
5404 W ATLANTIC BLVD, MARGATE, FL 33063-5209
(954) 974-4400
(954) 974-4402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN19381
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004189300
—
FL
Enumeration date
10/26/2016
Last updated
10/26/2016
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