| Godental Smile Design Center | |
|
221 Ruby Ave Ste C Kissimmee FL 34741-7201 | |
| (407) 201-2169 | |
| Not Available |
| Full Name | Godental Smile Design Center |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 221 Ruby Ave Ste C, Kissimmee, Florida |
| Authorized Official Name and Position | Natalia A Diaz Suarez (DENTIST) |
| Authorized Official Contact | 7272774240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Godental Smile Design Center 221 Ruby Ave Ste C Kissimmee FL 34741-7201 Ph: () - | Godental Smile Design Center 221 Ruby Ave Ste C Kissimmee FL 34741-7201 Ph: (407) 201-2169 |
| NPI Number | 1598304537 |
|---|---|
| Provider Enumeration Date | 12/21/2019 |
| Last Update Date | 12/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598304537 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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