Organization
INTERNATIONAL SMILE INSTITUTE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART MICHAEL GOFF DDS (DENTIST PRESIDENT)
(954) 772-0842
Entity
Organization
Contact information
Practice address
2161 E COMMERCIAL BLVD, 3RD FLOOR, FORT LAUDERDALE, FL 33308
(954) 772-0842
(954) 776-7480
Mailing address
2161 E COMMERCIAL BLVD, 3RD FLOOR, FORT LAUDERDALE, FL 33308
(954) 772-0842
(954) 776-7480
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN16553
FL
122300000X
Dentist
—
—
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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