Organization
CELEBRITY SMILES, PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES ROPPA D.D.S. (OWNER/DENTIST)
(630) 551-5423
Entity
Organization
Contact information
Practice address
2575 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3701
(321) 914-0929
Mailing address
2575 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3701
(321) 914-0929
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17724
FL
Other
Enumeration date
09/14/2011
Last updated
09/14/2011
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