Organization
CELEBRITY SMILES DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH A GAETA JR. D.D.S (OWNER)
(941) 426-1134
Entity
Organization
Contact information
Practice address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 426-1134
(941) 423-2396
Mailing address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 426-1134
(941) 423-2396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN11262
FL
1223G0001X
General Practice Dentistry
DN7845
FL
Other
Enumeration date
07/02/2013
Last updated
07/02/2013
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