Organization
HAPPY SMILES ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK KOMFORTI DMD (OWNER)
(904) 201-4844
Entity
Organization
Contact information
Practice address
206 ASHOURIAN AVE STE 211, ST AUGUSTINE, FL 32092-5107
(904) 201-4844
(904) 201-4432
Mailing address
206 ASHOURIAN AVE STE 211, ST AUGUSTINE, FL 32092-5107
(904) 201-4844
(904) 201-4432
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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