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Organization
BEAUTIFUL SMILES DENTAL INC
Active
Organization
BEAUTIFUL SMILES DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL RIELO DMD (DENTIST)
(786) 539-6935
Entity
Organization
Contact information
Practice address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-5455
(866) 305-9918
Mailing address
5376 W 16TH AVE, HIALEAH, FL 33012-2165
(305) 231-5455
(866) 305-9918
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DN22785
DENTAL LIC
FL
Enumeration date
03/05/2019
Last updated
03/05/2019
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