Organization
BIG SMILE DENTISTRY INC
Active
Other names
Big Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DAYANA YOLANI CALDERON (OFFICE MANAGER)
(561) 331-3013
Entity
Organization
Contact information
Practice address
4481 LAKE WORTH RD STE B, LAKE WORTH, FL 33461-3929
(561) 331-3013
Mailing address
9880 VIA BERNINI, LAKE WORTH, FL 33467-6939
(561) 331-3013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN15799
FL
Other
Enumeration date
05/01/2013
Last updated
05/09/2013
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