| Smiling Team Corp | |
|
14201 W Sunrise Blvd Ste 106 Sunrise FL 33323-3207 | |
| (954) 652-1504 | |
| Not Available |
| Full Name | Smiling Team Corp |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14201 W Sunrise Blvd Ste 106, Sunrise, Florida |
| Authorized Official Name and Position | Gennys N Russo De Romero (PRESIDENT) |
| Authorized Official Contact | 9546556413 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiling Team Corp 14201 W Sunrise Blvd Ste 106 Sunrise FL 33323-3207 Ph: (954) 652-1504 | Smiling Team Corp 14201 W Sunrise Blvd Ste 106 Sunrise FL 33323-3207 Ph: (954) 652-1504 |
| NPI Number | 1508578576 |
|---|---|
| Provider Enumeration Date | 12/21/2022 |
| Last Update Date | 12/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508578576 | NPI | - | NPPES |
| 1821626094 | Other | FL | DENTIST NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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