| Orthosmiles,p.a. | |
|
302 Nw 179th Ave Suite#201-a Pembroke Pines FL 33029-2818 | |
| (954) 404-6712 | |
| (954) 404-6734 |
| Full Name | Orthosmiles,p.a. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 302 Nw 179th Ave, Pembroke Pines, Florida |
| Authorized Official Name and Position | Gina Cozzarelli (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 9544046712 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Orthosmiles,p.a. 302 Nw 179th Ave Suite#201-a Pembroke Pines FL 33029-2818 Ph: (954) 404-6712 | Orthosmiles,p.a. 302 Nw 179th Ave Suite#201-a Pembroke Pines FL 33029-2818 Ph: (954) 404-6712 |
| NPI Number | 1104278910 |
|---|---|
| Provider Enumeration Date | 07/05/2016 |
| Last Update Date | 07/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104278910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DN17976 (Florida) | Primary |
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