Organization
SMILING TEAM CORP
Active
Other names
Smiling Team Corp
Organization subpart
No
Provider details
NPI number
Authorized official
GENNYS N RUSSO DE ROMERO DDS (PRESIDENT)
(954) 655-6413
Entity
Organization
Contact information
Practice address
14201 W SUNRISE BLVD STE 106, SUNRISE, FL 33323-3207
(954) 652-1504
Mailing address
14201 W SUNRISE BLVD STE 106, SUNRISE, FL 33323-3207
(954) 652-1504
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821626094
DENTIST NPI
FL
Enumeration date
12/21/2022
Last updated
12/21/2022
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