Organization
ADVANCED SMILE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT EDWARD LENS D.D.S. (PRESIDENT)
(561) 512-4125
Entity
Organization
Contact information
Practice address
1850 SW FOUNTAINVIEW BLVD, SUITE 101, PORT ST LUCIE, FL 34986-3443
(772) 336-9388
Mailing address
1850 SW FOUNTAINVIEW BLVD, SUITE 101, PORT ST LUCIE, FL 34986-3443
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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