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Organization

BELLA SMILE DENTAL INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CLARA IVYS RODRIGUEZ (OWNER)
(305) 556-9473
Entity
Organization

Contact information

Practice address
10550 NW 77TH CT STE 220, HIALEAH GARDENS, FL 33016-2071
(305) 556-9473
(305) 556-9486
Mailing address
10550 NW 77TH CT STE 220, HIALEAH GARDENS, FL 33016-2071
(305) 556-9473
(305) 556-9486

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN17582
FL

Other

Enumeration date
06/09/2014
Last updated
06/09/2014
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