| Smile Design Studio Inc | |
|
1331 S International Pkwy Suite 2271 Lake Mary FL 32746-1405 | |
| (407) 804-0770 | |
| (407) 804-0773 |
| Full Name | Smile Design Studio Inc |
|---|---|
| Speciality | Dentist |
| Location | 1331 S International Pkwy, Lake Mary, Florida |
| Authorized Official Name and Position | Mark A Falco (PRESIDENT) |
| Authorized Official Contact | 4078040770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Design Studio Inc 1331 S International Pkwy Suite 2271 Lake Mary FL 32746-1405 Ph: (407) 804-0770 | Smile Design Studio Inc 1331 S International Pkwy Suite 2271 Lake Mary FL 32746-1405 Ph: (407) 804-0770 |
| NPI Number | 1639514045 |
|---|---|
| Provider Enumeration Date | 04/30/2013 |
| Last Update Date | 04/30/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639514045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12688 (Florida) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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