Organization
SMILE ISLE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARINA KOSTUROS DDS MSD (MANAGING MEMBER)
(916) 276-0700
Entity
Organization
Contact information
Practice address
14735 SULLY RUN, ODESSA, FL 33556-4674
(916) 276-0700
Mailing address
416 S PALOMA PL, TAMPA, FL 33609-3712
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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