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Organization

LC BEYOND SMILES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LISET CAPOTE VICTORES DMD (OWNER)
(305) 343-3187
Entity
Organization

Contact information

Practice address
12927 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 240-4900
Mailing address
2390 HINSDALE DR, KISSIMMEE, FL 34741-7756
(305) 343-3187

Taxonomy

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

Other

Enumeration date
02/12/2025
Last updated
02/12/2025
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