| A Beautiful Smile Dental Centre | |
|
16565 Vanderbilt Drive Suite 2 Bonita Springs FL 34134 | |
| (239) 992-0110 | |
| (239) 947-6556 |
| Full Name | A Beautiful Smile Dental Centre |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16565 Vanderbilt Drive, Bonita Springs, Florida |
| Authorized Official Name and Position | Amy Kroeger (INS COOD) |
| Authorized Official Contact | 2175405100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| A Beautiful Smile Dental Centre 16565 Vanderbilt Drive Suite 2 Bonita Springs FL 34134 Ph: (239) 992-0110 | A Beautiful Smile Dental Centre 16565 Vanderbilt Drive Suite 2 Bonita Springs FL 34134 Ph: (239) 992-0110 |
| NPI Number | 1508088048 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508088048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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