Organization
IDEAL SMILES ENTERPRISE, INC
Active
Other names
Ideal Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HOANG DDS (OWNER/PRESIDENT)
(954) 933-1705
Entity
Organization
Contact information
Practice address
6536 N. UNIVERSITY DRIVE, TAMARAC, FL 33321
(954) 933-1705
(954) 532-5375
Mailing address
6536 N. UNIVERSITY DR., TAMARAC, FL 33321
(954) 933-1705
(954) 532-5375
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
09/20/2019
Last updated
05/21/2021
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