Organization
EVENLY SOUTHEAST, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAUN SMITH DDS (AUTHORIZED MEMBER/ORTHODONTIST)
(240) 394-0567
Entity
Organization
Contact information
Practice address
8223 W ATLANTIC BLVD, CORAL SPRINGS, FL 33071-7450
(800) 500-0493
Mailing address
7250 WOODMONT AVE STE 330, BETHESDA, MD 20814-3057
(800) 500-0493
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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