| Amazing Smile Llc | |
|
2417 S French Ave Sanford FL 32771-4249 | |
| (407) 321-5010 | |
| Not Available |
| Full Name | Amazing Smile Llc |
|---|---|
| Speciality | Dentist |
| Location | 2417 S French Ave, Sanford, Florida |
| Authorized Official Name and Position | Evelyn Clemente (OWNER) |
| Authorized Official Contact | 3212847984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Smile Llc 2417 S French Ave Sanford FL 32771-4249 Ph: (407) 321-5010 | Amazing Smile Llc 2417 S French Ave Sanford FL 32771-4249 Ph: (407) 321-5010 |
| NPI Number | 1245637909 |
|---|---|
| Provider Enumeration Date | 11/24/2014 |
| Last Update Date | 01/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245637909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN20701 (Florida) | Primary |
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