Organization
LITTLE SMILES DENTAL OFFICE # 3
Active
Parent organization
LITTLE SMILE DENTAL OFFICE #1
Organization subpart
Yes
Provider details
NPI number
Legal business name
LITTLE SMILE DENTAL OFFICE #1
Authorized official
DR. BAYARDO C CORTES DMD (OWNER)
(305) 698-7566
Entity
Organization
Contact information
Practice address
3469 W BOYNTON BEACH BLVD, SUITE NUMBER 20, BOYNTON BEACH, FL 33436-4611
(561) 736-8755
(561) 736-3996
Mailing address
3469 W BOYNTON BEACH BLVD, SUITE NUMBER 20, BOYNTON BEACH, FL 33436-4611
(561) 736-8755
(561) 736-3996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN15894
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075542702
—
FL
Enumeration date
05/10/2012
Last updated
05/10/2012
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