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Organization
MY SMILE DENTISTRY LLC
Active
Organization
MY SMILE DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY GONZALEZ DMD (DENTIST)
(561) 212-8478
Entity
Organization
Contact information
Practice address
9640 STIRLING RD, UNIT 101, COOPER CITY, FL 33024
(954) 400-0900
Mailing address
9640 STIRLING RD, UNIT 101, COOPER CITY, FL 33024
(954) 400-0900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/12/2021
Last updated
04/12/2021
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