Hollywood Bright Smile Spa PLLC
Clinic/Center, Dental in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1376154161
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1376154161
- Entity type
- Organization (NPI-2)
- Legal business name
- Hollywood Bright Smile Spa PLLC
- Organization subpart
- No
- Enumeration date
- Aug 14, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2699 Stirling Rd Ste C203Fort Lauderdale, FL 33312-6580
Phone 954-374-9993
Mailing address
2699 Stirling Rd Ste C203Fort Lauderdale, FL 33312-6580
Phone 954-374-9993
Authorized official
Shary Ask
Dentist
9543749993
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