Organization
PURE DENTAL SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANABEL CASADO DMD (OWNER)
(786) 660-3873
Entity
Organization
Contact information
Practice address
1829 NE MIAMI GDN DR, NORTH MIAMI BEACH, FL 33179-5035
(305) 932-6600
Mailing address
8736 NW 149TH TER, MIAMI LAKES, FL 33018-1312
(786) 660-3873
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112484500
—
FL
Enumeration date
07/12/2022
Last updated
07/12/2022
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