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Organization

DEBORAH E LUIS DMD PA

Active
Other names
Fresh Dental Smiles
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH E LUIS DMD, PA (DENTIST)
(954) 741-6556
Entity
Organization

Contact information

Practice address
7100 W. COMMERCIAL BLVD., SUITE 108, LAUDERHILL, FL 33319-2147
(954) 741-6556
(954) 741-1715
Mailing address
7100 W. COMMERCIAL BLVD., SUITE 108, LAUDERHILL, FL 33319-2147
(954) 741-6556
(954) 741-1715

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN19798
FL

Other

Enumeration date
11/24/2014
Last updated
03/11/2015
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