Ismile Bright Llc | |
24795 State Road 54 Lutz FL 33559 | |
(813) 733-0007 | |
Not Available |
Full Name | Ismile Bright Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 24795 State Road 54, Lutz, Florida |
Authorized Official Name and Position | Isis El Ghannam (OWNER) |
Authorized Official Contact | 7867161589 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ismile Bright Llc 8048 Praise Dr Tampa FL 33625-3744 Ph: () - | Ismile Bright Llc 24795 State Road 54 Lutz FL 33559 Ph: (813) 733-0007 |
NPI Number | 1154191153 |
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Provider Enumeration Date | 01/02/2024 |
Last Update Date | 01/02/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154191153 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
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