Organization
M & R GENTLE SMILE
Active
Other names
M&R Gentle Smile
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISOLY DANIEL DMD (PRESIDENT)
(305) 804-3011
Entity
Organization
Contact information
Practice address
9112 W STATE ROAD 84 # C09, DAVIE, FL 33324-4416
(305) 804-3011
Mailing address
9112 W STATE ROAD 84 # C09, DAVIE, FL 33324-4416
(305) 804-3011
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2024
Last updated
05/29/2024
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