| Smiles of Ocoee | |
|
1104 South Clarke Rd, Suite 10 Ocoee FL 34761 | |
| (407) 751-2001 | |
| Not Available |
| Full Name | Smiles of Ocoee |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1104 South Clarke Rd, Suite 10, Ocoee, Florida |
| Authorized Official Name and Position | Freddy Mezquia (OWNER) |
| Authorized Official Contact | 4077512001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles of Ocoee 1104 South Clarke Rd, Suite 10 Ocoee FL 34761 Ph: (407) 751-2001 | Smiles of Ocoee 1104 South Clarke Rd, Suite 10 Ocoee FL 34761 Ph: (407) 751-2001 |
| NPI Number | 1912533027 |
|---|---|
| Provider Enumeration Date | 03/20/2020 |
| Last Update Date | 03/20/2020 |
| Certification Date | 03/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912533027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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