Crestview Smiles, PA

NPI #1386274777 in Crestview, Florida

Provider Information

NPI Number: 1386274777
Entity Type: Organization
Organization Name: Crestview Smiles, PA
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 24, 2020
Last Updated: Jan 24, 2020

Practice Location

Address: 5170 S FERDON BLVD
City: Crestview
State: Florida
ZIP Code: 32536-9258
Phone: (850) 897-4488

Authorized Official

Name: LOVELYN SILVA
Title: OPERATIONS MANAGER
Phone: (850) 699-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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