Organization
DYNAMIC DENTAL HEALTH ASSOCIATES OF FLORIDA, PA
Active
Other names
The Smile Studio
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA LESSO (CHIEF FINANCIAL OFFICER)
(714) 571-3471
Entity
Organization
Contact information
Practice address
5180 PALM BEACH BLVD, FORT MYERS, FL 33905-3270
(239) 694-6161
(239) 694-0413
Mailing address
136 4TH ST N STE 201, ST PETERSBURG, FL 33701-3889
(727) 800-8026
(727) 304-3164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9392
FL
261QD0000X
Dental Clinic/Center
9392
FL
Other
Enumeration date
02/13/2008
Last updated
02/02/2024
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