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Organization
SMILE SO BIG LLC
Active
Organization
SMILE SO BIG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN AALONA MONTOYA DDS (OWNER)
(919) 321-7824
Entity
Organization
Contact information
Practice address
7586 SW 61ST AVE, OCALA, FL 34476-8310
(352) 484-0262
Mailing address
2112 SW 34TH ST # 418, GAINESVILLE, FL 32608-1204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1801413265
DENTIST
—
01
—
1932266210
DENTIST
—
Enumeration date
12/08/2023
Last updated
12/08/2023
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