COSMIC SMILES PEDIATRIC DENTISTRY NPI 1366910333

NPI Information

COSMIC SMILES PEDIATRIC DENTISTRY is a pediatric dentistry dentist in Fort Lauderdale, FL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. COSMIC SMILES PEDIATRIC DENTISTRY NPI is 1366910333. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3027 E COMMERCIAL BLVD
FORT LAUDERDALE, FL
ZIP 33308-330
Phone: (646) 409-6540
Fax: (954) 246-4577

The provider's authorized official is Julian Berlin .
The authorized official title is Owner and has the following contact phone number (954) 246-4777.

The enumeration date for this NPI number is 11/8/2018 and was last updated on 11/8/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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