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Organization
SMILE INNOVATIONS DENTISTRY CORP
Active
Organization
SMILE INNOVATIONS DENTISTRY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAMILE VILLAVICENCIO DDS (DENTIST)
(239) 233-4531
Entity
Organization
Contact information
Practice address
3833 CLEVELAND AVE STE 170, FORT MYERS, FL 33901-8663
(239) 935-7704
(239) 935-7709
Mailing address
3833 CLEVELAND AVE STE 170, FORT MYERS, FL 33901-8663
(239) 935-7704
(239) 935-7709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
05/21/2024
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