Premier Smile Center

NPI 1205215225 - Dentist - 1223G0001X

NPI Details
NPI 1205215225
Enumeration Date 05/22/2015
Last Updated 05/22/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name CHARMAINE AUBREY CHARMAINE
Position OWNER
Phone (954) 566-7479
Fax (954) 306-6910
Practice Location
2717 E OAKLAND PARK BLVD
SUITE 100
FORT LAUDERDALE FL, 33306-1664, US
Phone (954) 566-7479
Fax (954) 306-6910
Business Location
2717 E OAKLAND PARK BLVD
SUITE 100
FORT LAUDERDALE FL, 33306-1664, US
Phone (954) 566-7479
Fax (954) 306-6910
Toxanomy
Taxonomy Code 1223G0001X
License State Florida
License Number DN15991
Remove 1205215225 NPI Number
 

According to our database, Premier Smile Center NPI is 1205215225, taxonomy code is 1223G0001X and license number is DN15991, license state is located at Florida. Premier Smile Center physically located at 2717 E Oakland Park Blvd, Fort Lauderdale FL, 33306-1664. NPI Number 1033115704 has the healthcare provider type.

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1205215225 NPI number is provided on an as is basis without warranty of any kind. 1205215225 is maintained by the National Plan & Provider Enumeration System. The contents of Premier Smile Center are for informational purposes only.