Organization
LIFE SMILES DENTAL, P.A.
Active
Other names
Thi M. Pham, D.D.S.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THI MINH PHAM D.D.S. (PRESIDENT)
(407) 812-4511
Entity
Organization
Contact information
Practice address
7400 SOUTHLAND BLVD., SUITE 112, ORLANDO, FL 32809
(407) 812-4511
(407) 812-4588
Mailing address
7400 SOUTHLAND BLVD., SUITE 112, ORLANDO, FL 32809
(407) 812-4511
(407) 812-4588
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN14922
FL
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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