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Organization
LOOP SMILE GROUP
Active
Organization
LOOP SMILE GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUAN RICARDO YOUSSEF (OWNER)
(305) 477-7655
Entity
Organization
Contact information
Practice address
7902 NW 36TH ST STE 209, DORAL, FL 33166-6663
(305) 477-7655
(305) 477-7654
Mailing address
7902 NW 36TH ST STE 209, DORAL, FL 33166-6663
(305) 477-7655
(305) 477-7654
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18386
FL
Other
Enumeration date
05/29/2015
Last updated
05/29/2015
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