Organization
HEALTHYSMILES4HAPPY KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RHONDA LYNN MILLER (PRESIDENT)
(407) 803-2904
Entity
Organization
Contact information
Practice address
1248 STONE HARBOUR RD, WINTER SPRINGS, FL 32708-4739
(407) 803-2904
(407) 542-4634
Mailing address
1248 STONE HARBOUR RD, WINTER SPRINGS, FL 32708-4739
(407) 803-2904
(407) 542-4634
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
12608
FL
124Q00000X
Dental Hygienist
Primary
DH8826
FL
Other
Enumeration date
12/31/2010
Last updated
12/31/2010
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