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Organization

CELEBRITY SMILES MELBOURNE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANAND SHAH DMD (GENERAL DENTIST)
(321) 914-0929
Entity
Organization

Contact information

Practice address
2575 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3701
(321) 914-0929
Mailing address
2575 W NEW HAVEN AVE, WEST MELBOURNE, FL 32904-3701

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN 19903
FL

Other

Enumeration date
06/02/2016
Last updated
06/02/2016
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