Organization
183 DENTAL GROUP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD A. SMITH D.M.D. (DENTIST)
(305) 652-8338
Entity
Organization
Contact information
Practice address
636 NW 183RD ST, MIAMI, FL 33169-4470
(305) 652-8338
(305) 653-5807
Mailing address
636 NW 183RD ST, MIAMI, FL 33169-4470
(305) 652-8338
(305) 653-5807
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 12408
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
073388100
—
FL
Enumeration date
02/14/2007
Last updated
06/13/2008
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