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Organization
NICE SMILE DENTAL LLC
Active
Organization
NICE SMILE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTOR A MATUTE D.O (PRESIDENT)
(561) 530-3705
Entity
Organization
Contact information
Practice address
4519 LAKE WORTH RD, GREENACRES, FL 33463-3449
(561) 530-3705
Mailing address
4519 LAKE WORTH RD, GREENACRES, FL 33463-3449
(561) 530-3705
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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