# M DENTAL SMILE PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578278412
- **Authorized official:** DR. MARIANELA MARTINEZ HERNANDEZ DMD (DENTIST)
- **Authorized official phone:** (786) 831-7749

## Contact information

- **Practice address:** 7740 PRESERVE LN STE 11, NAPLES, FL 34119-9710
- **Practice address phone:** (786) 831-7749
- **Mailing address:** 14040 DANPARK LOOP, FORT MYERS, FL 33912-6864
- **Mailing address phone:** (786) 831-7749

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 01/16/2023
- **Last updated:** 01/16/2023