Organization
SMILEXP PLLC
Active
Other names
The Smile Home
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICARDO CARLO CARRILLO DN23339 (DENTIST)
(703) 341-7769
Entity
Organization
Contact information
Practice address
1993 DANIELS RD STE 120, WINTER GARDEN, FL 34787-4598
(407) 395-9335
(407) 395-8470
Mailing address
1993 DANIELS RD STE 120, WINTER GARDEN, FL 34787-4598
(407) 395-9335
(407) 395-8470
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2020
Last updated
05/28/2020
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