Organization
SMILE CONCEPTS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEISHA ALEXANDER D.D.S., M.S. (PRESIDENT)
(407) 779-0244
Entity
Organization
Contact information
Practice address
551 N PARK AVE, SUITE A, APOPKA, FL 32712-3655
(407) 703-8330
(407) 703-8339
Mailing address
551 N PARK AVE, SUITE A, APOPKA, FL 32712-3655
(407) 703-8330
(407) 703-8339
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN18362
FL
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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