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Organization
MODERN DENTAL BY SMILE, PA
Active
Organization
MODERN DENTAL BY SMILE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELISEO RUIZ DMD (PRESIDENT)
(786) 262-0175
Entity
Organization
Contact information
Practice address
8221 W FLAGLER ST, MIAMI, FL 33144-2027
(305) 266-7000
Mailing address
8734 NW 151ST TER, MIAMI LAKES, FL 33018-1386
(786) 262-0175
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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