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Organization
IDEAL SMILES ENTERPRISE, INC
Active
Organization
IDEAL SMILES ENTERPRISE, INC
Active
Other names
Ideal Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HOANG DDS (OWNER/PRESIDENT)
(954) 933-1705
Entity
Organization
Contact information
Practice address
6536 N. UNIVERSITY DRIVE, TAMARAC, FL 33321
(954) 933-1705
(954) 532-5375
Mailing address
6536 N. UNIVERSITY DR., TAMARAC, FL 33321
(954) 933-1705
(954) 532-5375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/20/2019
Last updated
05/21/2021
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