| International Smile Institute Pa | |
|
2161 E Commercial Blvd 3rd Floor Fort Lauderdale FL 33308 | |
| (954) 772-0842 | |
| (954) 776-7480 |
| Full Name | International Smile Institute Pa |
|---|---|
| Speciality | Dentist |
| Location | 2161 E Commercial Blvd, Fort Lauderdale, Florida |
| Authorized Official Name and Position | Stuart Michael Goff (DENTIST PRESIDENT) |
| Authorized Official Contact | 9547720842 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Smile Institute Pa 2161 E Commercial Blvd 3rd Floor Fort Lauderdale FL 33308 Ph: (954) 772-0842 | International Smile Institute Pa 2161 E Commercial Blvd 3rd Floor Fort Lauderdale FL 33308 Ph: (954) 772-0842 |
| NPI Number | 1043475437 |
|---|---|
| Provider Enumeration Date | 07/24/2008 |
| Last Update Date | 07/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043475437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN16553 (Florida) | Primary |
| 122300000X | Dentist | (* (Not Available)) | Secondary |
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