Organization
HEALTHY SMILES DENTAL OF PALM COAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCIANA BENCHIMOL (OFFICE MANAGER)
(386) 283-4902
Entity
Organization
Contact information
Practice address
1264 PALM COAST PKWY SW, PALM COAST, FL 32137-4700
(386) 283-4902
(386) 283-4961
Mailing address
1264 PALM COAST PARKWAY SW, PALM COAST, FL 32137
(386) 283-4902
(386) 283-4961
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN18114
FL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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