Organization
HAPPY SMILES OF PORT SAINT LUCIE
Active
Parent organization
HAPPY SMILES OF PORT SAINT LUCIE
Other names
Happy Smiles of Fort Myers
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAPPY SMILES OF PORT SAINT LUCIE
Authorized official
MARIANNA ZADOV (OWNER)
(561) 305-2958
Entity
Organization
Contact information
Practice address
2675 WINKLER AVE STE 450, FORT MYERS, FL 33901-9329
(561) 241-7656
Mailing address
1905 CLINT MOORE RD STE 200, BOCA RATON, FL 33496-2660
(561) 241-7656
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
01/04/2019
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