| Evolution Smiles | |
|
340 Alhambra Cir Coral Gables FL 33134-5004 | |
| (305) 442-6422 | |
| Not Available |
| Full Name | Evolution Smiles |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 340 Alhambra Cir, Coral Gables, Florida |
| Authorized Official Name and Position | Diana Ayala (DENTIST/OWNER) |
| Authorized Official Contact | 3054426422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolution Smiles 340 Alhambra Cir Coral Gables FL 33134-5004 Ph: (305) 442-6422 | Evolution Smiles 340 Alhambra Cir Coral Gables FL 33134-5004 Ph: (305) 442-6422 |
| NPI Number | 1437528536 |
|---|---|
| Provider Enumeration Date | 09/18/2015 |
| Last Update Date | 09/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437528536 | NPI | - | NPPES |
| 013199200 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN19902 (Florida) | Primary |
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