| Pure Smiles, Pa | |
|
8185 Lee Vista Blvd Ste 200 Orlando FL 32829-8304 | |
| (407) 881-1751 | |
| Not Available |
| Full Name | Pure Smiles, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8185 Lee Vista Blvd Ste 200, Orlando, Florida |
| Authorized Official Name and Position | Angel M Rivera Castro (GENERAL DENTIST-OWNER) |
| Authorized Official Contact | 4078811751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Smiles, Pa 3195 Queen Alexandria Dr Ste 200 Kissimmee FL 34744-9103 Ph: (407) 881-1751 | Pure Smiles, Pa 8185 Lee Vista Blvd Ste 200 Orlando FL 32829-8304 Ph: (407) 881-1751 |
| NPI Number | 1013503184 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 12/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013503184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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