# FLORIDA MOBILE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902333610
- **Authorized official:** DR. ESMERALDA CHIANG (OWNER DENTIST)
- **Authorized official phone:** (954) 558-7821

## Contact information

- **Practice address:** 13650 FIDDLESTICKS BLVD, SUITE 202-278, FT MYERS, FL 33912
- **Practice address phone:** (954) 558-7821
- **Mailing address:** 4724 OAKSHIRE DRIVE, HOUSTON, TX 77027
- **Mailing address phone:** (954) 558-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | DN18023 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 11/16/2017