CORAL RIDGE SMILE is a general practice dentist in Ft Lauderdale, FL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CORAL RIDGE SMILE NPI is 1689794505. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
2324 NE 53RD ST
FT LAUDERDALE, FL
ZIP 33308-212
Phone: (954) 990-6543
Fax: (954) 491-4876
The provider's authorized official is Mandana Mir Esmaili .
The authorized official title is Owner and has the following contact phone number (954) 990-6543.
The CLIA number assigned to this NPI record is 10D1088107 - ambulatory surgery center with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 4/2/2007 and was last updated on 2/16/2012.