Organization
DR. SMILE PA
Active
Other names
Plantation Park Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP A PINE DDS (OWNER/DENTIST)
(954) 791-0330
Entity
Organization
Contact information
Practice address
7420 NW 5TH ST STE 101, PLANTATION, FL 33317-1611
(954) 791-0330
(954) 791-0377
Mailing address
7420 NW 5TH ST STE 101, PLANTATION, FL 33317-1611
(954) 791-0330
(954) 791-0377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN10126
FL
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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