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Organization

VISIBLE SMILE DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE TENNILLE BURNEY DDS (CEO)
(352) 672-8581
Entity
Organization

Contact information

Practice address
4436 NW 23RD AVE STE B, GAINESVILLE, FL 32606-6507
(352) 373-4924
Mailing address
1608 NE 4TH AVE, GAINESVILLE, FL 32641-5755

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
FL

Other

Enumeration date
09/14/2017
Last updated
09/26/2017
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