Smile Designs by Dr. Charlotte Gerry L/o

NPI #1104090943 in Live Oak, Florida

Provider Information

NPI Number: 1104090943
Entity Type: Organization
Organization Name: Smile Designs by Dr. Charlotte Gerry L/o
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 14, 2008
Last Updated: Apr 14, 2008

Practice Location

Address: 530 HOWARD ST E
City: Live Oak
State: Florida
ZIP Code: 32064-3306
Phone: (386) 362-6800

Authorized Official

Name: DR. CHARLOTTE Y GERRY, D.M.D.
Title: PRESIDENT
Phone: (386) 362-6800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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