Organization
NORTH PORT SMILES LLC
Active
Other names
North Port Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
KARISSA ROTTENBERK (VIRTUAL ASSISTANT)
(941) 312-7647
Entity
Organization
Contact information
Practice address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 500-5812
Mailing address
13801 TAMIAMI TRL STE B, NORTH PORT, FL 34287-2017
(941) 500-5812
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/24/2019
Last updated
07/24/2019
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