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Organization

ORTHOSMILES,P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GINA COZZARELLI D.M.D.,P.A. (ORTHODONTIST/OWNER)
(954) 404-6712
Entity
Organization

Contact information

Practice address
302 NW 179TH AVE, SUITE#201-A, PEMBROKE PINES, FL 33029-2818
(954) 404-6712
(954) 404-6734
Mailing address
302 NW 179TH AVE, SUITE#201-A, PEMBROKE PINES, FL 33029-2818
(954) 404-6712
(954) 404-6734

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN17976
FL

Other

Enumeration date
07/05/2016
Last updated
07/05/2016
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