Organization
LITTLE SMILES DENTAL OFFICE #1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BAYARDO C CORTES DMD (OWNER/DENTIST)
(305) 698-7566
Entity
Organization
Contact information
Practice address
15495 EAGLE NEST LN STE 110, MIAMI LAKES, FL 33014-2242
(305) 698-7566
(305) 698-7565
Mailing address
15495 EAGLE NEST LN STE 110, MIAMI LAKES, FL 33014-2242
(305) 698-7566
(305) 698-7565
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075542703
—
FL
Enumeration date
11/16/2011
Last updated
11/16/2011
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