Organization
HEALTHY SMILES DENTAL OF PORT SAINT LUCIE FL PLLC
Active
Other names
Healthy Smiles Dental of Port Saint Lucie FL PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUES BENCHIMOL DMD (OWNER)
(954) 397-1452
Entity
Organization
Contact information
Practice address
258 SW PORT ST LUCIE BLVD, PORT SAINT LUCIE, FL 34984-5044
(772) 877-0488
(772) 877-0814
Mailing address
8495 TWIN LAKE DR, BOCA RATON, FL 33496-1923
(954) 397-1452
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2022
Last updated
08/16/2022
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