| Little Smiles Dentaloffice #4 | |
|
1708 N Federal Hwy Lake Worth FL 33460-6668 | |
| (561) 736-8755 | |
| (561) 736-3996 |
| Full Name | Little Smiles Dentaloffice #4 |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1708 N Federal Hwy, Lake Worth, Florida |
| Authorized Official Name and Position | Gonzalo E Cortes (OWNER) |
| Authorized Official Contact | 3056987566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles Dentaloffice #4 1708 N Federal Hwy Lake Worth FL 33460-6668 Ph: () - | Little Smiles Dentaloffice #4 1708 N Federal Hwy Lake Worth FL 33460-6668 Ph: (561) 736-8755 |
| NPI Number | 1073874723 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 05/30/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073874723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN16953 (Florida) | Primary |
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