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Organization
MAGICAL SMILES PEDIATRIC DENTISTRY
Active
Organization
MAGICAL SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FALASTIN ABU-SAMN DDS (DENTIST/OWNER)
(407) 417-0847
Entity
Organization
Contact information
Practice address
918 WILLISTON PARK PT, LAKE MARY, FL 32746-2122
(407) 878-1318
Mailing address
918 WILLISTON PARK PT, LAKE MARY, FL 32746-2122
(321) 363-1889
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN22279
FL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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