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Organization
SMILES KINGDOM INC
Active
Organization
SMILES KINGDOM INC
Active
Parent organization
TABORDA DENTISTRY
Organization subpart
Yes
Provider details
NPI number
Legal business name
TABORDA DENTISTRY
Authorized official
DR. STEVE D TABORDA DMD (DENTIST)
(386) 299-5625
Entity
Organization
Contact information
Practice address
3751 CLYDE MORRIS BLVD, UNIT 7, PORT ORANGE, FL 32129-2356
(386) 310-3060
(386) 872-5021
Mailing address
3751 CLYDE MORRIS BLVD, UNIT 7, PORT ORANGE, FL 32129-2356
(386) 310-3060
(386) 872-5021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19830
FL
122300000X
Dentist
DN21034
FL
Other
Enumeration date
02/12/2016
Last updated
02/12/2016
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