Organization
HEALING SMILES PLLC
Active
Other names
Aspen Dental
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VAN CAMP (PROVIDER RELATIONS SPECIALST)
(315) 454-6000
Entity
Organization
Contact information
Practice address
249 PALM BAY RD NE, WEST MELBOURNE, FL 32904-8602
(321) 482-5220
(321) 953-3617
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(321) 282-5220
(321) 953-3617
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN20443
FL
Other
Enumeration date
05/18/2015
Last updated
05/18/2015
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