Organization
SIMPLY SMILE ORTHODONTICS OF PEMBROKE PINES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST S ORPHANOS D.D.S (MANAGING MEMBER)
(561) 477-7171
Entity
Organization
Contact information
Practice address
700 N HIATUS RD, SUITE 101, PEMBROKE PINES, FL 33026-5206
(954) 973-5725
Mailing address
700 N HIATUS RD, SUITE 101, PEMBROKE PINES, FL 33026-5206
(954) 973-5725
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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