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Organization

LITTLE SMILES DENTALOFFICE #4

Active
Parent organization
LITTLE SMILES DENTAL #1
Other names
LITTLE SMILES DENTAL # 1
Organization subpart
Yes

Provider details

NPI number
Legal business name
LITTLE SMILES DENTAL #1
Authorized official
DR. GONZALO E CORTES DMD (OWNER)
(305) 698-7566
Entity
Organization

Contact information

Practice address
1708 N FEDERAL HWY, LAKE WORTH, FL 33460-6668
(561) 736-8755
(561) 736-3996
Mailing address
1708 N FEDERAL HWY, LAKE WORTH, FL 33460-6668

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN16953
FL

Other

Enumeration date
05/30/2012
Last updated
05/30/2012
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