| Celebrity Smiles Melbourne | |
|
2575 W New Haven Ave West Melbourne FL 32904-3701 | |
| (321) 914-0929 | |
| Not Available |
| Full Name | Celebrity Smiles Melbourne |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2575 W New Haven Ave, West Melbourne, Florida |
| Authorized Official Name and Position | Anand Shah (GENERAL DENTIST) |
| Authorized Official Contact | 3219140929 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Celebrity Smiles Melbourne 2575 W New Haven Ave West Melbourne FL 32904-3701 Ph: () - | Celebrity Smiles Melbourne 2575 W New Haven Ave West Melbourne FL 32904-3701 Ph: (321) 914-0929 |
| NPI Number | 1912355660 |
|---|---|
| Provider Enumeration Date | 06/02/2016 |
| Last Update Date | 06/02/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912355660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN 19903 (Florida) | Primary |
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