| Impeccable Smiles, LLC | |
|
4947 Van Dyke Rd Lutz FL 33558-4813 | |
| (813) 298-5598 | |
| Not Available |
| Full Name | Impeccable Smiles, LLC |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4947 Van Dyke Rd, Lutz, Florida |
| Authorized Official Name and Position | Jaosn Arenz (MANAGER) |
| Authorized Official Contact | 8133653552 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Impeccable Smiles, LLC 4947 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 298-5598 | Impeccable Smiles, LLC 4947 Van Dyke Rd Lutz FL 33558-4813 Ph: (813) 298-5598 |
| NPI Number | 1861103780 |
|---|---|
| Provider Enumeration Date | 12/12/2022 |
| Last Update Date | 12/12/2022 |
| Certification Date | 12/12/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861103780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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