| Coral Ridge Smile | |
|
2324 Ne 53rd St Ft Lauderdale FL 33308-3212 | |
| (954) 990-6543 | |
| (954) 491-4876 |
| Full Name | Coral Ridge Smile |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2324 Ne 53rd St, Ft Lauderdale, Florida |
| Authorized Official Name and Position | Mandana Mir Esmaili (OWNER) |
| Authorized Official Contact | 9549906543 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coral Ridge Smile 2324 Ne 53rd St. Ft. Lauderdale FL 33308 Ph: (954) 990-6543 | Coral Ridge Smile 2324 Ne 53rd St Ft Lauderdale FL 33308-3212 Ph: (954) 990-6543 |
| NPI Number | 1689794505 |
|---|---|
| Provider Enumeration Date | 04/02/2007 |
| Last Update Date | 02/16/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689794505 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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