| Smile Center Of Debary, Llc | |
|
54 Spring Vista Dr Debary FL 32713-3269 | |
| (386) 753-0036 | |
| (386) 753-0802 |
| Full Name | Smile Center Of Debary, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 54 Spring Vista Dr, Debary, Florida |
| Authorized Official Name and Position | Daniel Jimenez (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 4075296814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Center Of Debary, Llc 54 Spring Vista Dr Debary FL 32713-3269 Ph: (386) 753-0036 | Smile Center Of Debary, Llc 54 Spring Vista Dr Debary FL 32713-3269 Ph: (386) 753-0036 |
| NPI Number | 1306601034 |
|---|---|
| Provider Enumeration Date | 02/21/2024 |
| Last Update Date | 02/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306601034 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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