CORAL RIDGE SMILE

FT LAUDERDALE, FL
NPI1689794505
Entity TypeOrganization
Authorized ContactMANDANA MIR ESMAILI
Owner
954-990-6543
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2007-04-02
Last Update Date2012-02-16
Business Address
CORAL RIDGE SMILE
2324 NE 53RD ST
FT LAUDERDALE, FL 33308-3212
Phone number: 954-990-6543
Mailing Address
CORAL RIDGE SMILE
2324 NE 53RD ST.
FT. LAUDERDALE, FL 33308
Phone number: 954-990-6543