Lauderdale Ismile
NPI #1487411435 in Lauderdale Lakes, Florida
Provider Information
- NPI Number
- 1487411435
- Entity Type
- Organization
- Organization Name
- Lauderdale Ismile
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 5, 2024
- Last Updated
- Feb 18, 2025
Practice Location
- Address
- 2412 N STATE ROAD 7
- City
- Lauderdale Lakes
- State
- Florida
- ZIP Code
- 33313-3724
- Phone
- (954) 281-7405
Authorized Official
- Name
- SHEILA RONQUILLO
- Title
- OFFICE MANAGER
- Phone
- (786) 390-5716
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - General Practice — General Practice |
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