Organization
CHAMPION SMILES PEDIATRIC DENTISTRY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHANIE MENDIGUTIA MACHADO DMD (DENTIST/OWNER)
(305) 564-1717
Entity
Organization
Contact information
Practice address
1582 W 68TH ST, HIALEAH, FL 33014-3810
(305) 564-1717
Mailing address
1582 W 68TH ST, HIALEAH, FL 33014-3810
(305) 564-1717
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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