Premier Smile Center

NPI #1205215225 in Fort Lauderdale, Florida

Provider Information

NPI Number: 1205215225
Entity Type: Organization
Organization Name: Premier Smile Center
Primary Specialty: Dentist - General Practice
Enumeration Date: May 22, 2015
Last Updated: May 22, 2015

Practice Location

Address: 2717 E OAKLAND PARK BLVD
Address 2: SUITE 100
City: Fort Lauderdale
State: Florida
ZIP Code: 33306-1664
Phone: (954) 566-7479

Authorized Official

Name: DR. CHARMAINE AUBREY JOHNSON-LEONG, D.D.S.
Title: OWNER
Phone: (954) 566-7479

Specialties & Taxonomy Codes

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

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