Organization
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC
Active
Parent organization
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC
Authorized official
ERNEST ORPHANOS DDS (OWNER)
(561) 477-7171
Entity
Organization
Contact information
Practice address
700 N HIATUS RD, SUITE 101, PEMBROKE PINES, FL 33026-5206
(954) 973-5725
Mailing address
9291 GLADES RD, SUITE 301, BOCA RATON, FL 33434-3959
(561) 477-7171
(561) 477-7577
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN17283
FL
Other
Enumeration date
04/29/2013
Last updated
04/29/2013
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