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Organization
LIFE SMILE DENTAL GROUP, INC.
Active
Organization
LIFE SMILE DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDGAR E NAVARRETE DMD (GENERAL DENTIST)
(305) 558-6832
Entity
Organization
Contact information
Practice address
2438 W 60TH ST, HIALEAH, FL 33016-4400
(305) 558-6832
(305) 558-1159
Mailing address
2438 W 60TH ST, HIALEAH, FL 33016-4400
(305) 558-6832
(305) 558-1159
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0106X
Oral and Maxillofacial Pathology Dentistry
—
—
1223P0300X
Periodontics
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
02/09/2023
Last updated
02/09/2023
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