| Smile Innovations Dentistry Corp | |
|
3833 Cleveland Ave Ste 170 Fort Myers FL 33901-8663 | |
| (239) 935-7704 | |
| (239) 935-7709 |
| Full Name | Smile Innovations Dentistry Corp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3833 Cleveland Ave Ste 170, Fort Myers, Florida |
| Authorized Official Name and Position | Yamile Villavicencio (DENTIST) |
| Authorized Official Contact | 2392334531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smile Innovations Dentistry Corp 3833 Cleveland Ave Ste 170 Fort Myers FL 33901-8663 Ph: (239) 935-7704 | Smile Innovations Dentistry Corp 3833 Cleveland Ave Ste 170 Fort Myers FL 33901-8663 Ph: (239) 935-7704 |
| NPI Number | 1578312302 |
|---|---|
| Provider Enumeration Date | 05/14/2024 |
| Last Update Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578312302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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