Organization
COSMETIC DENTAL OPERATIONS, PLLC
Active
Other names
SMI Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK ESPINO (OWNER)
(813) 295-5268
Entity
Organization
Contact information
Practice address
4001 16TH ST N, ST PETERSBURG, FL 33703-5605
(727) 527-2000
Mailing address
9332 BALM RIVERVIEW RD, RIVERVIEW, FL 33569-5104
(813) 677-1177
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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