Organization
DESIGNER SMILES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMELIA OSPINA RN (CLINICAL MANAGER)
(407) 894-3571
Entity
Organization
Contact information
Practice address
5030 SR 46 STE 108, SANFORD, FL 32771-9247
(407) 894-3571
(407) 895-5511
Mailing address
PO BOX 130, OSTEEN, FL 32764-0030
(407) 894-3571
(407) 895-5511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
FL
261QD0000X
Dental Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1255352142
—
FL
Enumeration date
03/03/2016
Last updated
03/08/2023
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