Organization
SIMMONS SERVICES LLC
Active
Other names
Dr. G Dental Studio
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN SIMMONS (PRESIDENT)
(412) 329-8366
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE STE 45, MIAMI, FL 33165-2492
(305) 217-6453
Mailing address
2500 SW 107TH AVE STE 45, MIAMI, FL 33165-2492
(305) 217-6453
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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