| Fresh Dental Smiles | |
|
7100 W. Commercial Blvd. Suite 108 Lauderhill FL 33319-2147 | |
| (954) 741-6556 | |
| (954) 741-1715 |
| Full Name | Fresh Dental Smiles |
|---|---|
| Speciality | Dentist |
| Location | 7100 W. Commercial Blvd., Lauderhill, Florida |
| Authorized Official Name and Position | Deborah E Luis (DENTIST) |
| Authorized Official Contact | 9547416556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Dental Smiles 7100 W. Commercial Blvd. Suite 108 Lauderhill FL 33319-2147 Ph: (954) 741-6556 | Fresh Dental Smiles 7100 W. Commercial Blvd. Suite 108 Lauderhill FL 33319-2147 Ph: (954) 741-6556 |
| NPI Number | 1568869360 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 03/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN19798 (Florida) | Primary |
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