Organization
KIND SMILES DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KONICK (AO)
(941) 251-6225
Entity
Organization
Contact information
Practice address
11155 STATE ROAD 70 E, LAKEWOOD RANCH, FL 34202
(941) 253-5565
(813) 336-0836
Mailing address
11155 STATE ROAD 70 EAST, LAKEWOOD RANCH, FL 34202-8264
(941) 251-6225
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/23/2020
Last updated
05/17/2021
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