Organization
PATRICIA PRIMERO D.D.S., P.A.
Active
Other names
The Smile Fairy Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA PRIMERO D.D.S., P.A. (PRESIDENT)
(239) 254-4480
Entity
Organization
Contact information
Practice address
9010 STRADA STELL CT, SUITE 101, NAPLES, FL 34109-4424
(239) 254-4480
(239) 254-8575
Mailing address
9010 STRADA STELL CT, SUITE 101, NAPLES, FL 34109-4424
(239) 254-4480
(239) 254-8575
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
DN 12193
FL
Other
Enumeration date
10/19/2006
Last updated
08/22/2020
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