Happy Smiles Orthodontics | |
206 Ashourian Ave Ste 211 St Augustine FL 32092-5107 | |
(904) 201-4844 | |
(904) 201-4432 |
Full Name | Happy Smiles Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 206 Ashourian Ave Ste 211, St Augustine, Florida |
Authorized Official Name and Position | Mark Komforti (OWNER) |
Authorized Official Contact | 9042014844 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Happy Smiles Orthodontics 206 Ashourian Ave Ste 211 St Augustine FL 32092-5107 Ph: (904) 201-4844 | Happy Smiles Orthodontics 206 Ashourian Ave Ste 211 St Augustine FL 32092-5107 Ph: (904) 201-4844 |
NPI Number | 1922847078 |
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Provider Enumeration Date | 05/20/2024 |
Last Update Date | 05/20/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922847078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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