Organization
A1A SMILES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON MANCHESTER DMD (PRESIDENT)
(305) 394-2873
Entity
Organization
Contact information
Practice address
3830 S HIGHWAY A1A, SUITE 1, MELBOURNE BEACH, FL 32951
(321) 728-0025
Mailing address
3830 S HIGHWAY A1A, SUITE 1, MELBOURNE BEACH, FL 32951
(305) 394-2874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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