Organization
WINTER GARDEN SMILES, PL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISSETTE R BERNAL DDS (PEDIATRIC DENTIST)
(407) 694-8144
Entity
Organization
Contact information
Practice address
1291 WINTER GARDEN VINELAND RD, SUITE 140, WINTER GARDEN, FL 34787-6705
(407) 614-5955
(407) 614-5001
Mailing address
1291 WINTER GARDEN VINELAND RD, SUITE 140, WINTER GARDEN, FL 34787-6705
(407) 614-5955
(407) 614-5001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN17413
FL
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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