| Cosmic Smiles Family Dentistry | |
|
1310 San Marco Rd Ste B Marco Island FL 34145-4608 | |
| (239) 394-2270 | |
| (239) 259-8572 |
| Full Name | Cosmic Smiles Family Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1310 San Marco Rd Ste B, Marco Island, Florida |
| Authorized Official Name and Position | Tamara Kristine Robison (OWNER) |
| Authorized Official Contact | 2393942270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cosmic Smiles Family Dentistry 1310 San Marco Rd Ste B Marco Island FL 34145-4608 Ph: (239) 259-8572 | Cosmic Smiles Family Dentistry 1310 San Marco Rd Ste B Marco Island FL 34145-4608 Ph: (239) 394-2270 |
| NPI Number | 1932622008 |
|---|---|
| Provider Enumeration Date | 07/20/2017 |
| Last Update Date | 07/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932622008 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Florida) | Primary |
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