| Ultimate Smile Design Llc | |
|
730 Emerson Dr Ne Palm Bay FL 32907-1430 | |
| (321) 984-7878 | |
| Not Available |
| Full Name | Ultimate Smile Design Llc |
|---|---|
| Speciality | Dentist |
| Location | 730 Emerson Dr Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Michele Miller (OFFICE MANAGER) |
| Authorized Official Contact | 3219847878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultimate Smile Design Llc 730 Emerson Dr Ne Palm Bay FL 32907-1430 Ph: (321) 984-7878 | Ultimate Smile Design Llc 730 Emerson Dr Ne Palm Bay FL 32907-1430 Ph: (321) 984-7878 |
| NPI Number | 1932642634 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932642634 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN10353 (Florida) | Primary |
| 1223G0001X | Dentist - General Practice | DN20799 (Florida) | Secondary |
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