Organization
CRESTVIEW SMILES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOVELYN SILVA (OPERATIONS MANAGER)
(850) 699-6111
Entity
Organization
Contact information
Practice address
5170 S FERDON BLVD, CRESTVIEW, FL 32536-9258
(850) 897-4488
Mailing address
4400 E HIGHWAY 20 STE 101, NICEVILLE, FL 32578-9735
(850) 897-4488
(850) 897-1446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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