Organization
COSMIC SMILES PEDIATRIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN BERLIN DDS (OWNER)
(954) 246-4777
Entity
Organization
Contact information
Practice address
3027 E COMMERCIAL BLVD, FORT LAUDERDALE, FL 33308-3330
(646) 409-6540
(954) 246-4577
Mailing address
200 LESLIE DR APT 812, HALLANDALE BEACH, FL 33009-7317
(646) 409-6540
(954) 246-4577
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03716034
—
NY
Enumeration date
11/08/2018
Last updated
11/08/2018
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