Organization
LHA SMILES DESIGN, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUIS HERNANDEZ DMD (DENTIST)
(305) 910-9817
Entity
Organization
Contact information
Practice address
6704 HANLEY RD, TAMPA, FL 33634-4743
(813) 551-0112
Mailing address
1400 NW 107TH AVE STE 500, SWEETWATER, FL 33172-2746
(813) 834-7975
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/08/2021
Last updated
07/19/2023
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