Organization
IDEAL SMILES PLANTATION, INC.
Active
Other names
Ideal Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL GOODMAN (OFFICE MANAGER)
(954) 687-0031
Entity
Organization
Contact information
Practice address
12235 W SUNRISE BLVD, PLANTATION, FL 33323-2234
(954) 687-0031
(954) 372-0031
Mailing address
12235 W SUNRISE BLVD, PLANTATION, FL 33323-2234
(954) 687-0031
(954) 372-0031
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2021
Last updated
04/22/2021
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