| Specialty Smiles | |
|
16375 Nw 67th Ave Miami Lakes FL 33014-6044 | |
| (305) 773-7168 | |
| Not Available |
| Full Name | Specialty Smiles |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16375 Nw 67th Ave, Miami Lakes, Florida |
| Authorized Official Name and Position | Eddy J Sedeno (OWNER) |
| Authorized Official Contact | 3057737168 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Specialty Smiles 670 Plover Ave Miami Springs FL 33166-3929 Ph: () - | Specialty Smiles 16375 Nw 67th Ave Miami Lakes FL 33014-6044 Ph: (305) 773-7168 |
| NPI Number | 1487183950 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 06/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487183950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN20629 (Florida) | Primary |
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